| NPI | 1326285214 |
|---|---|
| Former Legal Business Name | DR.KING'S DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBIN LYNNE ANDERSON Manager 763-746-8419 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN D10360) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |