Individual
CARLOS J KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1734 W 1ST ST, SUITE H, SANTA ANA, CA 92703-3660
(714) 542-9785
(714) 542-1140
Mailing address
1734 W 1ST ST, SUITE H, SANTA ANA, CA 92703-3660
(714) 542-9785
(714) 542-1140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
771846
UNITED CONCORDIA
CA
01
—
B41440-01
DENTICAL PROVIDER NUMBER
CA
Enumeration date
09/24/2006
Last updated
07/08/2007
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