| NPI | 1861675738 |
|---|---|
| Other Name | WAYNE KING |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS0000007692) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 2039) |
| 1223G0001X Dentist, General Practice (Licence: GA DN010090) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2012-01-04 |