Organization
K. JASINSKI, D.M.D., P.C.
Active
Parent organization
K. JASINSKI, D.M.D., P.C.
Other names
Grandover Village Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
K. JASINSKI, D.M.D., P.C.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
6021 W GATE CITY BLVD, GREENSBORO, NC 27407-7021
(336) 252-3630
Mailing address
6021 W GATE CITY BLVD, GREENSBORO, NC 27407-7021
(336) 252-3630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
10/04/2024
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