Organization
KING ENDODONTICS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN THOMAS KING DDS (MANAGER)
(773) 775-3663
Entity
Organization
Contact information
Practice address
6217 N MILWAUKEE AVE, CHICAGO, IL 60646-3730
(773) 775-3663
(773) 775-8815
Mailing address
6217 N MILWAUKEE AVE, CHICAGO, IL 60646-3730
(773) 775-3663
(773) 775-8815
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
19A16281
IL
Other
Enumeration date
01/06/2007
Last updated
08/22/2020
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