Organization
TEAM DENTAL AT RIVER OAKS
Active
Organization
TEAM DENTAL AT RIVER OAKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ENON KING D.D.S. (DENTIST)
(703) 221-9759
Entity
Organization
Contact information
Practice address
16689 RIVER RIDGE BLVD, WOODBRIDGE, VA 22191-4630
(703) 221-9759
(703) 221-2782
Mailing address
16689 RIVER RIDGE BLVD, WOODBRIDGE, VA 22191-4630
(703) 221-9759
(703) 221-2782
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
8593
VA
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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