Individual
EMILY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 S MAIN ST, WEST HARTFORD, CT 06107-2408
(860) 707-4571
Mailing address
80 S MAIN ST, WEST HARTFORD, CT 06107-2408
(860) 231-1030
(860) 231-1032
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12465
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2014
Last updated
12/02/2021
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