Organization
TY KING DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TY KING (DENTIST)
(479) 633-8846
Entity
Organization
Contact information
Practice address
1109 W CHESTNUT ST, ROGERS, AR 72756-3529
(479) 633-8846
Mailing address
1109 W CHESTNUT ST, ROGERS, AR 72756-3529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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