| King Orthodontics Ltd | |
|
1575 20th St Nw Suite 202 Faribault MN 55021-2930 | |
| (507) 332-0022 | |
| (507) 333-9553 |
| Full Name | King Orthodontics Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1575 20th St Nw, Faribault, Minnesota |
| Authorized Official Name and Position | Darrin L. King (ORTHODONTIST) |
| Authorized Official Contact | 5073320022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Orthodontics Ltd 1575 20th St Nw Suite 202 Faribault MN 55021-2930 Ph: (507) 332-0022 | King Orthodontics Ltd 1575 20th St Nw Suite 202 Faribault MN 55021-2930 Ph: (507) 332-0022 |
| NPI Number | 1306018544 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 03/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306018544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11171 (Minnesota) | Primary |
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