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1700144300
EASLEY DENTAL ASSOCIATES
EASLEY, SC
NPI
1700144300
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Entity Type
Organization
Authorized Contact
MIR JIM NASIM
Owner
864-306-0800
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
EASLEY DENTAL ASSOCIATES
1040 S PENDLETON ST STE C
EASLEY, SC 29642-1047
Phone number: 864-306-0800
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Mailing Address
EASLEY DENTAL ASSOCIATES
1040 S PENDLETON ST STE C
EASLEY, SC 29642-1047
Phone number: 864-306-0800
Copy