Individual
JASDEEP SINGH GURAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-9301
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN24113
FL
1223P0221X
Pediatric Dentistry
Primary
9780
SC
Other
Enumeration date
06/14/2019
Last updated
03/31/2021
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