Organization
K. JASINSKI, D.M.D., P.C.
Active
Parent organization
K. JASINSKI, D.M.D., P.C.
Other names
Owen Drive Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
K. JASINSKI, D.M.D., P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
203 OWEN DR, FAYETTEVILLE, NC 28304-3409
(910) 484-1771
Mailing address
203 OWEN DR, FAYETTEVILLE, NC 28304-3409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
10/04/2024
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