Individual
JASLEEN KUNDLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1209 N RETAIL CT, MYRTLE BEACH, SC 29577-9626
(843) 874-4060
Mailing address
1434 HADLEY CIR UNIT 213, MYRTLE BEACH, SC 29577-8223
(607) 377-2645
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401417625
VA
1223G0001X
General Practice Dentistry
Primary
DGD10331
SC
Other
Enumeration date
08/04/2021
Last updated
09/28/2022
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