Organization
CARLOS J. KING, DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS J. KING (DENTIST)
(714) 542-9785
Entity
Organization
Contact information
Practice address
1734 W 1ST ST, SUITE H, SANTA ANA, CA 92703-3660
(714) 542-9785
(714) 542-1140
Mailing address
1734 W 1ST ST, SUITE H, SANTA ANA, CA 92703-3660
(714) 542-9785
(714) 542-1140
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
41440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4144001
MEDICAL
CA
Enumeration date
02/20/2015
Last updated
02/20/2015
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