Individual
MS. MARY LYNN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1611 GREENFIELD ST, WILMINGTON, NC 28401-6455
(910) 342-9210
Mailing address
6504 BREVARD DR, WILMINGTON, NC 28405-4197
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7298
NC
Other
Enumeration date
01/17/2007
Last updated
07/09/2007
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