Organization
CAROLINA DENTAL DOCS LLC GENERAL DENTISTRY FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM NASIM DMD (OWNER)
(864) 641-0495
Entity
Organization
Contact information
Practice address
1460 JOHN B WHITE SR BLVD, STE 1-C, SPARTANBURG, SC 29306
(864) 641-0495
(864) 707-2133
Mailing address
1460 JOHN B WHITE SR BLVD, STE 1-C, SPARTANBURG, SC 29306
(864) 641-0495
(864) 707-2133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/08/2014
Last updated
07/21/2022
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