Organization
KIMBERLY A KING DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KING (OWNER)
(979) 849-1213
Entity
Organization
Contact information
Practice address
109 E LORRAINE ST, ANGLETON, TX 77515
(979) 849-1213
(979) 848-8370
Mailing address
109 E LORRAINE ST, ANGLETON, TX 77515
(979) 849-1213
(979) 848-8370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160437301
—
TX
Enumeration date
03/24/2015
Last updated
03/24/2015
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