Individual
BRUCE EDWARD KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
102 E 9TH ST, ELDON, MO 65026-1605
(573) 392-3886
(573) 392-5867
Mailing address
102 E 9TH ST, ELDON, MO 65026-1605
(573) 392-3886
(573) 392-5867
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015170
MO
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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