# MLK COMMUNITY DENTAL & DENTURE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861126328
- **Authorized official:** SUN KIM (MANAGER)
- **Authorized official phone:** (702) 588-1453

## Contact information

- **Practice address:** 6044 MLK JR WAY S STE 101, SEATTLE, WA 98118-3179
- **Practice address phone:** (206) 708-1179
- **Mailing address:** 6044 MLK JR WAY S STE 101, SEATTLE, WA 98118-3179
- **Mailing address phone:** (206) 708-1179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2022
- **Last updated:** 07/11/2022