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Individual

KORWIN KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
116 E GRANDVIEW AVE, ZELIENOPLE, PA 16063-1131
(724) 452-6020
(724) 452-8317
Mailing address
116 E GRANDVIEW AVE, ZELIENOPLE, PA 16063-1131
(724) 452-6020
(724) 452-8317

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 021893-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44296
UNITED CONCORDIA
PA
Enumeration date
08/19/2005
Last updated
07/08/2007
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