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General NPI Number Information
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NPI Number | 1417029471
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Entity Type | Organization
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Legal Business Name | MONTREL A. KING , D.D.S , P. C.
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 7847 PARALLEL PARKWAY
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City | KANSAS CITY
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State | KS
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Zip | 66112
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Country | US
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Telephone | 913-299-6500
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Fax | 913-299-0285
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Provider Business Mailing Address
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Address Line | 7847 PARALLEL PARKWAY
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City | KANSAS CITY
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State | KS
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Zip | 66112
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Country | US
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Telephone | 913-299-6500
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Fax | 913-299-0285
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MONTREL A. KING
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Credential | D.D.S.
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Telephone | 913-299-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2001022560
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 60167
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License Number State | KS
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