Organization
K. JASINSKI, D.M.D., P.C.
Active
Parent organization
K. JASINSKI, D.M.D., P.C.
Other names
Queens Road Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
K. JASINSKI, D.M.D., P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
200 QUEENS RD STE 310, CHARLOTTE, NC 28204-3257
(704) 287-0864
Mailing address
200 QUEENS RD STE 310, CHARLOTTE, NC 28204-3257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
10/04/2024
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