Organization
HAROLD W KING DDS APDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD WINIFRED KING DDS (PRESIDENT)
(318) 686-0572
Entity
Organization
Contact information
Practice address
2520 BERT KOUNS INDUSTRIAL LOOP, STE 104, SHREVEPORT, LA 71118
(318) 686-0572
(318) 697-9311
Mailing address
2520 BERT KOUNS INDUSTRIAL LOOP, STE 104, SHREVEPORT, LA 71118
(318) 686-0572
(318) 697-9311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1846
LA
Other
Enumeration date
09/07/2006
Last updated
07/27/2012
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