Organization
DR. KATHERINE KING, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE LEE KING DMD (DENTIST-OWNER)
(606) 679-1402
Entity
Organization
Contact information
Practice address
110 N CENTRAL AVE, SOMERSET, KY 42501
(606) 679-1402
(606) 679-3761
Mailing address
PO BOX 73, SOMERSET, KY 42502
(606) 679-1402
(606) 679-3761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5444
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61900940
—
KY
Enumeration date
03/02/2007
Last updated
11/04/2008
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