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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