NPI | 1871867895 |
---|---|
Former Legal Business Name | MICHAEL W KING, DDS |
Entity Type | Organization |
Authorized Contact | MICHAEL KING Chief Manager 731-668-2354 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN 6915) |
Enumeration Date | 2012-03-08 |
Last Update Date | 2012-03-08 |