Organization
TOTAL DENTAL CARE OF ORANGEBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM NASIM (OWNER)
(864) 576-7169
Entity
Organization
Contact information
Practice address
630 LAUREL ST, ORANGEBURG, SC 29115-4835
(803) 534-5550
(803) 534-3963
Mailing address
630 LAUREL ST, ORANGEBURG, SC 29115-4835
(803) 534-5550
(803) 534-3963
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1926
SC
122300000X
Dentist
Primary
4457
SC
124Q00000X
Dental Hygienist
3811
SC
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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