Organization
J C METS INC
Active
Other names
M L King Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORDENA T SULLEN DMD (PRESIDENT)
(404) 788-9740
Entity
Organization
Contact information
Practice address
1099 M L KING JR DRIVE, ATLANTA, GA 30314
(404) 752-7777
(404) 752-6877
Mailing address
PO BOX 50101, ATLANTA, GA 30302
(404) 752-7777
(404) 752-6877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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