Organization
K. JASINSKI, D.M.D., P.C.
Active
Parent organization
K. JASINSKI, D.M.D., P.C.
Other names
Tradition Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
K. JASINSKI, D.M.D., P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
2211 W ARBORS DR, CHARLOTTE, NC 28262-2572
(704) 778-3545
(704) 778-3547
Mailing address
2211 W ARBORS DR, CHARLOTTE, NC 28262-2572
(704) 778-3545
(704) 778-3547
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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