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Organization

K. JASINSKI, D.M.D., P.C.

Active
Parent organization
K. JASINSKI, D.M.D., P.C.
Other names
South Charlotte Family & Cosmetic Dentistry
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
7741 BALLANTYNE COMMONS PKWY STE 102, CHARLOTTE, NC 28277-4140
(704) 759-0908
Mailing address
7741 BALLANTYNE COMMONS PKWY STE 102, CHARLOTTE, NC 28277-4140

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/22/2022
Last updated
10/04/2024
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