Organization
JELINEK DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN G JELINEK (PRESIDENT)
(843) 235-2719
Entity
Organization
Contact information
Practice address
38 BLACKGUM RD UNIT G, PAWLEYS ISLAND, SC 29585-8495
(843) 235-2719
(843) 235-2730
Mailing address
38 BLACKGUM RD UNIT G, PAWLEYS ISLAND, SC 29585-8495
(843) 235-2719
(843) 235-2730
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4664
SC
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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