King Oral Surgery Group

NPI #1679875033 in Waldorf, Maryland

Provider Information

NPI Number: 1679875033
Entity Type: Organization
Organization Name: King Oral Surgery Group
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Nov 17, 2010
Last Updated: Nov 17, 2010

Practice Location

Address: 11885 HOLLY LN STE 2
City: Waldorf
State: Maryland
ZIP Code: 20601-3187
Phone: (301) 645-4555

Authorized Official

Name: MICHEAL KING
Title: PRESIDENT
Phone: (615) 293-3744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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