Ballard King Dental Partnership
Dentist in Rancho Santa Margarita, CA. Organization (NPI-2).
NPI number1639735368
StatusActive
Last updated in NPPESMay 17, 2019
Details
- NPI
- 1639735368
- Entity type
- Organization (NPI-2)
- Legal business name
- Ballard King Dental Partnership
- Organization subpart
- No
- Enumeration date
- May 17, 2019
- Last updated
- May 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
29819 Santa Margarita ParkwaySuite #200
Rancho Santa Margarita, CA 92688
Phone 949-459-0399
Mailing address
29819 Santa Margarita ParkwaySuite #200
Rancho Santa Margarita, CA 92688
Phone 949-459-0399
Authorized official
Garrett King
Dentist
9494590399
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