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Organization

BC KING DDS PC

Active
Other names
King Dental Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE E. KING DDS (DENTIST/OWNER/PRES.)
(573) 392-3886
Entity
Organization

Contact information

Practice address
102 E 9TH ST, ELDON, MO 65026-1605
(573) 392-3886
(573) 392-5867
Mailing address
102 E 9TH ST., ELDON, MO 65026
(573) 392-3886
(573) 392-5867

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15170
MO

Other

Enumeration date
11/29/2017
Last updated
11/29/2017
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