Easley Dental Associates
NPI #1700144300 in Easley, South Carolina
Provider Information
- NPI Number
- 1700144300
- Entity Type
- Organization
- Organization Name
- Easley Dental Associates
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- May 2, 2012
- Last Updated
- May 2, 2012
Practice Location
- Address
- 1040 S PENDLETON ST STE C
- City
- Easley
- State
- South Carolina
- ZIP Code
- 29642-1047
- Phone
- (864) 306-0800
Authorized Official
- Name
- DR. MIR JIM NASIM
- Title
- OWNER
- Phone
- (864) 306-0800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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