Individual
DR. BRIAN J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25947 COUNTY ROAD 20, ELKHART, IN 46517-2301
(574) 293-4213
Mailing address
25947 COUNTY ROAD 20, ELKHART, IN 46517-2301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009912
IN
Other
Enumeration date
12/17/2006
Last updated
07/08/2007
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