Individual
SILVIA REGINA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3302 GASTON AVE, ROOM 203A, DALLAS, TX 75246-2013
(214) 828-8133
(214) 874-4508
Mailing address
3302 GASTON AVE, ROOM 203A, DALLAS, TX 75246-2013
(214) 828-8133
(214) 874-4508
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111206202
—
TX
05
—
111206204
—
TX
05
—
1134162746
—
TX
05
—
1295777324
—
TX
01
—
19321
CDC CHIP
TX
Enumeration date
01/26/2007
Last updated
07/09/2007
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