Organization
AFFILIATED PEDIATRIC DENTISTS PA
Active
Other names
Dentistry for Children and Adolescents
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT JAY KING DDS (PRESIDENT)
(952) 831-4400
Entity
Organization
Contact information
Practice address
7373 FRANCE AVE SO, SUITE 402, EDINA, MN 55435-4598
(952) 831-4400
(952) 893-3041
Mailing address
7373 FRANCE AVE SO, SUITE 402, EDINA, MN 55435-4598
(952) 831-4400
(952) 893-3041
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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