Individual
DR. SAMUEL L. KING II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4844 MACCORKLE AVE SW, CHARLESTON, WV 25309-1340
(304) 768-6931
(304) 768-7881
Mailing address
4844 MACCORKLE AVE SW, CHARLESTON, WV 25309-1340
(304) 768-6931
(304) 768-7881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2525
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133562000
—
WV
Enumeration date
11/20/2006
Last updated
07/08/2007
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