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Organization

PASUI FAMILY DENTISTRY - SDA LLC

Active
Other names
Pasui Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNI TOMLINSON (CREDENTIALING SPECIALIST)
(864) 269-5290
Entity
Organization

Contact information

Practice address
2101 POWDERSVILLE RD, EASLEY, SC 29642-8920
(864) 269-5290
Mailing address
2101 POWDERSVILLE RD, EASLEY, SC 29642-8920
(864) 269-5290

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/12/2018
Last updated
10/09/2023
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