Organization
JIM NASIM DMD PA
Active
Other names
Westgate Family and Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNI TOMLINSON (CREDENTIALING SPECIALIST)
(864) 576-7169
Entity
Organization
Contact information
Practice address
108 BURTON ST, SPARTANBURG, SC 29301-5400
(864) 576-7169
(864) 576-7996
Mailing address
108 BURTON STREET, SPARTANBURG, SC 29301
(864) 576-7169
(864) 576-7996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2881
SC
Other
Enumeration date
10/10/2007
Last updated
10/09/2023
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