K. Jasinski, D.M.D., P.C.
Dentist, General Practice in Fuquay Varina, NC. Organization (NPI-2).
NPI number1033831755
StatusActive
Last updated in NPPESOct 4, 2024
Details
- NPI
- 1033831755
- Entity type
- Organization (NPI-2)
- Legal business name
- K. Jasinski, D.M.D., P.C.
- Organization subpart
- Yes
- Enumeration date
- Sep 19, 2022
- Certification date
- Oct 4, 2024
- Last updated
- Oct 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Dental Care Of Fuquay-Varina (Doing Business As)
Practice location
1140 E Broad StFuquay Varina, NC 27526-1961
Phone 984-600-3195 · Fax 984-600-3197
Mailing address
1140 E Broad StFuquay Varina, NC 27526-1961
Phone 984-600-3195 · Fax 984-600-3197
Authorized official
Belinda Huerta
Credentialing Coordinator
2175402100
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