JASON ANDREW STACK

GREENVILLE, SC
NPI1063430510
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SC  3618)
Enumeration Date2006-07-17
Last Update Date2007-07-08
Business Address
Dr. JASON ANDREW STACK D.M.D.
40 CREEKVIEW CT
GREENVILLE, SC 29615-4800
Phone number: 864-676-0825
Mailing Address
Dr. JASON ANDREW STACK D.M.D.
40 CREEKVIEW CT
GREENVILLE, SC 29615-4800
Phone number: 864-676-0825
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