Organization
KING ORTHODONTICS, LTD
Active
Parent organization
KING ORTHODONTICS, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
KING ORTHODONTICS, LTD
Authorized official
DR. DARRIN LEE KING DDS (ORTHODONTIST)
(507) 424-3632
Entity
Organization
Contact information
Practice address
3000 43RD ST NW, ROCHESTER, MN 55901-5847
(507) 424-3632
(507) 281-8757
Mailing address
1575 20TH ST NW, SUITE 202, FARIBAULT, MN 55021-2930
(507) 332-0022
(507) 333-9553
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11171
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
719448000
—
MN
Enumeration date
04/03/2009
Last updated
05/27/2009
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