Organization
DEWITT H. KING, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEWITT H. KING D.D.S. (DENTIST)
(901) 743-2055
Entity
Organization
Contact information
Practice address
2212 AIRWAYS BLVD, MEMPHIS, TN 38114-5361
(901) 743-2055
Mailing address
2212 AIRWAYS BLVD, MEMPHIS, TN 38114-5361
(901) 743-2055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3374
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003182
—
TN
Enumeration date
04/03/2008
Last updated
11/10/2009
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