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Organization
PALMETTO DENTAL HEALTH ASSOCIATES PA
Active
Organization
PALMETTO DENTAL HEALTH ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ALLEN JASINSKI DMD (CO OWNER DENTIST)
(843) 523-5291
Entity
Organization
Contact information
Practice address
103 EAST TATUM AVENUE, MCCOLL, SC 29570-2323
(843) 523-5291
(843) 523-9714
Mailing address
103 EAST TATUM AVENUE, MCCOLL, SC 29570-2323
(843) 523-5291
(843) 523-9714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3114
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9934
—
SC
Enumeration date
01/10/2006
Last updated
08/22/2020
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