| Brian J. King Dds Pc | |
|
25947 County Road 20 Elkhart IN 76517-2301 | |
| (574) 293-4213 | |
| (574) 294-8795 |
| Full Name | Brian J. King Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25947 County Road 20, Elkhart, Indiana |
| Authorized Official Name and Position | Brian Joseph King (OWNER) |
| Authorized Official Contact | 5742934213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian J. King Dds Pc 25947 County Road 20 Elkhart IN 76517-2301 Ph: (574) 293-4213 | Brian J. King Dds Pc 25947 County Road 20 Elkhart IN 76517-2301 Ph: (574) 293-4213 |
| NPI Number | 1730431826 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 10/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730431826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1200-9912A (Indiana) | Primary |
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