Organization
KING DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDELL KING DMD (PRESIDENT)
(503) 588-0061
Entity
Organization
Contact information
Practice address
1855 W NOB HILL ST SE STE 200, SALEM, OR 97302-5288
(503) 588-0061
Mailing address
1855 W NOB HILL ST SE STE 200, SALEM, OR 97302-5288
(503) 588-0061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8468
OR
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/15/2012
Last updated
03/28/2023
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