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MLK COMMUNITY DENTAL & DENTURE CLINIC LLC

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Company Details

Legal Name: MLK COMMUNITY DENTAL & DENTURE CLINIC LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 7th 2022
Expiration date: 31 Jul 2026
UBI Number: 604 938 373
ZIP code: 98118
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 6044 MARTIN LUTHER KING JR WAY S, SEATTLE, WA, 98118-3179, UNITED STATES

Contact Details

E-Mail: MLKCOMMUNITYDENTAL@GMAIL.COM
Phone Number: +1 425-273-4255

Nature of Business

Other Services, DENTAL AND DENTURE SERVICES

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Registered Agent Information

Name Role Address
BRETT PETERSON Registered Agent 7039 NE 138TH ST, KIRKLAND, WA, 98034-5012, UNITED STATES

Key Officers & Management

Name Role Address
BRETT PETERSON Executor 7039 NE 138TH ST, KIRKLAND, WA, 98034-5012, UNITED STATES
SUNG PARK Executor 5839 S 325TH CT, AUBURN, WA, 98001-5800, UNITED STATES
PEGGY PETERSON Executor 7039 NE 138TH ST, KIRKLAND, WA, 98034-5012, UNITED STATES
KIM SUN Executor 5839 S 325TH CT, AUBURN, WA, 98001-5800, UNITED STATES
BRETT PETERSON Governing Person -
PEGGY PETERSON Governing Person -
SUN PARK Governing Person -
SUN KIM Governing Person -

National Provider Identifier

NPI Number:
1861126328
Certification Date:
2022-06-24
Link:
View on NPI website

Authorized Person:

Name:
SUN KIM
Role:
MANAGER
Phone:
7025881453

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Phone:
+1 206-708-1179
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