Individual
JOHN AMOS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
2017 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87110-5147
(505) 256-1081
(505) 255-3203
Mailing address
1524 GERALD AVE SE, ALBUQUERQUE, NM 87106-5025
(505) 850-4266
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3875
NM
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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