Individual
MARK KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 N MIDLAND DR, SUITE 14, MIDLAND, TX 79707-5507
(432) 699-6222
Mailing address
650 INTERNATIONAL PKWY, SUITE 100, RICHARDSON, TX 75081-6612
(432) 699-6222
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9514
TX
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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