Organization
JAS GURAM, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASDEEP SINGH GURAM DMD (PEDIATRIC DENTIST)
(803) 760-9947
Entity
Organization
Contact information
Practice address
1562 CONSTITUTION BLVD STE 102, ROCK HILL, SC 29732-3540
(803) 328-8865
Mailing address
5160 LONGBROOKE CT, INDIAN LAND, SC 29707-8738
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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