| NPI | 1659454395 |
|---|---|
| Doing Business As | M L KING DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MORDENA T SULLEN President 404-788-9740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |