Individual
DR. KAHINA ETOSSI KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
1015 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-6653
(678) 553-4924
Mailing address
PO BOX 438394, CHICAGO, IL 60643-8394
(773) 609-2545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN122505
GA
1223D0001X
Public Health Dentistry
Primary
DN122505
GA
1223G0001X
General Practice Dentistry
DN122505
GA
Other
Enumeration date
07/11/2007
Last updated
05/01/2024
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