Individual
VIKAS RAJA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
807 S PENDLETON ST, EASLEY, SC 29640-3527
(864) 855-6563
(864) 855-6530
Mailing address
807 S PENDLETON ST, EASLEY, SC 29640-3527
(864) 855-6563
(864) 855-6530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8503
SC
Other
Enumeration date
04/17/2014
Last updated
08/06/2015
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