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Ronald L. King, D.D.S.

Clinic/Center, Dental in St Louis Park, MN. Organization (NPI-2).

NPI number1497944516
StatusActive
Last updated in NPPESOct 16, 2007

Details

NPI
1497944516
Entity type
Organization (NPI-2)
Legal business name
Ronald L. King, D.D.S.
Organization subpart
No
Enumeration date
Oct 16, 2007
Last updated
Oct 16, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, DentalD7821MNYes

Practice location

6100 Excelsior Blvd
Suite East
St Louis Park, MN 55416-2720

Phone 952-929-4545 · Fax 952-929-4592

Mailing address

6100 Excelsior Blvd
Suite East
St Louis Park, MN 55416-2720

Phone 952-929-4545 · Fax 952-929-4592

Authorized official

Ronald Lee King
Owner
9529294545

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