Dr. Michael Damian King, D.M.D.
Dentist, General Practice in Gallup, NM. Individual provider (NPI-1).
NPI number1639490451
StatusActive
Last updated in NPPESApr 22, 2021
Details
- NPI
- 1639490451
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Damian King
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2010
- Certification date
- Apr 22, 2021
- Last updated
- Apr 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DD3303 | NM | Yes |
Practice location
1601 S Second StGallup, NM 87301-5816
Phone 801-580-4081
Mailing address
1601 S Second StGallup, NM 87301-5816
Phone 801-580-4081
Other practice locations
920 Lobo Canyon Rd Ste 6
Grants, NM 87020-2186
Grants, NM 87020-2186
Phone 801-580-4081
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All 18 General Practice Dentistry providers in Gallup · All 2,281 providers in Gallup
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