Organization
UPSTATE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON ALLEN OKULEY D.D.S. (DENTIST)
(864) 288-3852
Entity
Organization
Contact information
Practice address
503 MURRAY DR, MAULDIN, SC 29662-2426
(864) 288-3852
Mailing address
503 MURRAY DR, MAULDIN, SC 29662-2426
(864) 288-3852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4450
SC
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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