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Organization

KING ORTHODONTICS LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARRIN L. KING DDS (ORTHODONTIST)
(507) 332-0022
Entity
Organization

Contact information

Practice address
1575 20TH ST NW, SUITE 202, FARIBAULT, MN 55021-2930
(507) 332-0022
(507) 333-9553
Mailing address
1575 20TH ST NW, SUITE 202, FARIBAULT, MN 55021-2930
(507) 332-0022
(507) 333-9553

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11171
MN

Other

Enumeration date
03/27/2008
Last updated
03/27/2008
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