Organization
K & N DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM NASIM (OWNER)
(864) 576-7169
Entity
Organization
Contact information
Practice address
111 POWELL MILL RD, SPARTANBURG, SC 29301-1590
(864) 574-0788
(864) 576-5359
Mailing address
125 TOWNPARK DR NW, SUITE 180, KENNESAW, GA 30144-5803
(404) 410-1343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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