Organization
K. JASINSKI, D.M.D., P.C.
Active
Parent organization
K. JASINSKI, D.M.D., P.C.
Other names
Rivergate Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
K. JASINSKI, D.M.D., P.C.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
13113 S TRYON ST, CHARLOTTE, NC 28278-7619
(704) 565-0740
Mailing address
13113 S TRYON ST, CHARLOTTE, NC 28278-7619
(704) 565-0740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
10/04/2024
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