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Organization

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

Active
Parent organization
K. JASINSKI, D.M.D., P.C.
Other names
Roanoke Rapids Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
K. JASINSKI, D.M.D., P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization

Contact information

Practice address
50 ANNA LOUISE LN, ROANOKE RAPIDS, NC 27870-8648
(252) 537-5769
Mailing address
50 ANNA LOUISE LN, ROANOKE RAPIDS, NC 27870-8648

Taxonomy

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

Other

Enumeration date
04/14/2021
Last updated
10/04/2024
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