Organization
BRIAN J. KING DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JOSEPH KING DDS (OWNER)
(574) 293-4213
Entity
Organization
Contact information
Practice address
25947 COUNTY ROAD 20, ELKHART, IN 76517-2301
(574) 293-4213
(574) 294-8795
Mailing address
25947 COUNTY ROAD 20, ELKHART, IN 76517-2301
(574) 293-4213
(574) 294-8795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1200-9912A
IN
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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