Individual
DR. MICHAEL DAMIAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1601 S SECOND ST, GALLUP, NM 87301-5816
(801) 580-4081
Mailing address
1601 S SECOND ST, GALLUP, NM 87301-5816
(801) 580-4081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3303
NM
Other
Enumeration date
06/16/2010
Last updated
04/22/2021
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