Individual
DR. JOHN DAVID KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-0220
Mailing address
UNIT 26610, BAVARIA DENTAL ACTIVITY CREDENTIALS OFFICE, APO, AE 09244
(931) 804-3933
(931) 804-2524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4092
ID
Other
Enumeration date
08/24/2007
Last updated
07/02/2019
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