| Ronald L. King, D.d.s. | |
|
6100 Excelsior Blvd Suite East St Louis Park MN 55416-2720 | |
| (952) 929-4545 | |
| (952) 929-4592 |
| Full Name | Ronald L. King, D.d.s. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6100 Excelsior Blvd, St Louis Park, Minnesota |
| Authorized Official Name and Position | Ronald Lee King (OWNER) |
| Authorized Official Contact | 9529294545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald L. King, D.d.s. 6100 Excelsior Blvd Suite East St Louis Park MN 55416-2720 Ph: (952) 929-4545 | Ronald L. King, D.d.s. 6100 Excelsior Blvd Suite East St Louis Park MN 55416-2720 Ph: (952) 929-4545 |
| NPI Number | 1497944516 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497944516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D7821 (Minnesota) | Primary |
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