Organization
K. JASINSKI, D.M.D., P.C.
Active
Parent organization
K. JASINSKI, D.M.D., P.C.
Other names
Farmington Village Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
K. JASINSKI, D.M.D., P.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
9380 SULLIVAN VALE LN STE A, CHARLOTTE, NC 28215-7076
(704) 954-8548
(704) 954-8391
Mailing address
9380 SULLIVAN VALE LN STE A, CHARLOTTE, NC 28215-7076
(704) 954-8548
(704) 954-8391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
10/04/2024
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