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Individual

SILVIA REGINA KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

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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