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Mark King, DMD, LLC

Details

Name: Mark King, DMD, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 Nov 2003 (21 years ago)
Entity Number: 000-694-791
Register Number: 000694791
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 754 GABLE DRBIRMINGHAM, AL 35215
Registered Office Street Address ZIP Code: 35215

Activities DENTAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245090323 2024-03-19 2024-03-19 PO BOX 798, TRUSSVILLE, AL, 35173, US 5620 CHALKVILLE ROAD, BIRMINGHAM, AL, 35235, US

Contacts

Phone +1 205-853-3030

Authorized person

Name DR. CHARLES MARK KING
Role OWNER
Phone 2058533030

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
KING, MARK Agent 5545 FERMI COURTCARLSBAD, CA 92008

Member

Name Role Address
KING, MARK Member 5545 FERMI COURTCARLSBAD, CA 92008

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State