| King Orthodontics, Ltd | |
|
3000 43rd St Nw Rochester MN 55901-5847 | |
| (507) 424-3632 | |
| (507) 281-8757 |
| Full Name | King Orthodontics, Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3000 43rd St Nw, Rochester, Minnesota |
| Authorized Official Name and Position | Darrin Lee King (ORTHODONTIST) |
| Authorized Official Contact | 5074243632 |
| 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 3000 43rd St Nw Rochester MN 55901-5847 Ph: (507) 424-3632 |
| NPI Number | 1114169224 |
|---|---|
| Provider Enumeration Date | 04/03/2009 |
| Last Update Date | 05/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114169224 | NPI | - | NPPES |
| 719448000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11171 (Minnesota) | Primary |
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