Organization
KIRK E KING, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK E KING DDS (PRESIDENT)
(425) 226-4090
Entity
Organization
Contact information
Practice address
66 WILLIAMS AVE S, RENTON, WA 98057
(425) 226-4090
Mailing address
66 WILLIAMS AVE S, RENTON, WA 98057
(425) 226-4090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE8201
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE 8201
WASH STATE LICENSE NUMBER
WA
Enumeration date
03/06/2007
Last updated
08/28/2007
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