NPI 1003002361

Michael Enon King, DDS

Practitioner General Practice Dentistry Woodbridge, VA

Practice location

Address: 16689 River Ridge Blvd, Woodbridge, VA 22191-4630
Phone: (703) 221-9759
Fax: (703) 221-2788

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 0401008593 (VA)

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Registry record

NPI: 1003002361
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2007
Record last updated: 20 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.