Organization
UNION DENTAL GROUP, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM NASIM DMD (OWNER)
(864) 576-7169
Entity
Organization
Contact information
Practice address
103 S BOYCE ST, SUITE C, UNION, SC 29379-2280
(864) 427-2264
(864) 427-8373
Mailing address
108 BURTON ST, SPARTANBURG, SC 29301-5400
(864) 576-7169
(864) 576-7996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1525
SC
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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