Organization
K. JASINSKI, D.M.D., P.C.
Active
Parent organization
K. JASINSKI, D.M.D., P.C.
Other names
Riverbend Village Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
K. JASINSKI, D.M.D., P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
9511 RIVERBEND VILLAGE DR STE I5, CHARLOTTE, NC 28216-9124
(704) 697-5908
(980) 237-9748
Mailing address
9511 RIVERBEND VILLAGE DR STE I5, CHARLOTTE, NC 28216-9124
(109) 335-4854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
10/04/2024
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