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Organization
K. JASINSKI, D.M.D., P.C.
Active
Organization
K. JASINSKI, D.M.D., P.C.
Active
Parent organization
K. JASINSKI, D.M.D., P.C.
Other names
Dental Care at Meadow Ridge
Organization subpart
Yes
Provider details
NPI number
Legal business name
K. JASINSKI, D.M.D., P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
1610 PROVIDENCE RD S STE 102, WAXHAW, NC 28173-8314
(980) 489-1017
(980) 489-1016
Mailing address
1610 PROVIDENCE RD S STE 102, WAXHAW, NC 28173-8314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
10/04/2024
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