Individual
DR. KEVIN A JASINSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
103 EAST TATUM AVENUE, MCCOLL, SC 29570-2323
(843) 523-5291
(843) 523-9714
Mailing address
103 EAST TATUM AVENUE, MCCOLL, SC 29570-2323
(843) 523-5291
(843) 523-9714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
SC3114
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231145
—
SC
Enumeration date
12/15/2005
Last updated
07/08/2007
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