Organization
JACK E. KING DDS INC
Active
Other names
King and Mayerson Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK E. KING DDS (PRESIDENT)
(937) 433-0830
Entity
Organization
Contact information
Practice address
6460 FAR HILLS AVENUE, CENTERVILLE, OH 45459
(937) 433-0830
(937) 433-9530
Mailing address
6460 FAR HILLS AVENUE, CENTERVILLE, OH 45459
(937) 433-0830
(937) 433-9530
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30013512
OH
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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