Most Relevant Information
Provider Data
| NPI Number: | 1003002361 |
| Provider Name: | MICHAEL ENON KING DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 0401008593 |
Most Important Dates
| Enumeration Date: | 09/20/2007 |
| Last Updated: | 09/20/2007 |
Provider Practice Location
16689 RIVER RIDGE BLVD
WOODBRIDGE
VA
221914630
Practice Location Phone/Fax
| Phone: | 7032219759 |
| Fax: | 7032212788 |
Provider Mailing Location
16689 RIVER RIDGE BLVD
WOODBRIDGE
VA
221914630
Provider Mailing Phone/Fax
| Phone: | 7032219759 |
| Fax: | 7032212788 |