Individual
ISAAC WALTER KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
140 E MAIN ST, OTHELLO, WA 99344-1040
(509) 488-5256
(509) 488-9939
Mailing address
140 E MAIN ST, OTHELLO, WA 99344-1040
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60238949
WA
Other
Enumeration date
08/13/2011
Last updated
08/13/2011
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