Melissa King, DDS Valid NPI
Individual provider · Dentist · O Fallon, MO
- NPI
- 1104279751
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 20160016666 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2016-07-19
- Last updated
- 2016-07-19
Practice location
3009 Winghaven Blvd
O Fallon, MO 63368-3600
(636) 561-5160