Organization · Type 2 NPI
Stan Kaczkowski DDS PLLC
Dental Clinic/Center · Cross Lanes, WV
NPI number
1366053324
Active
Practice location
5376 Big Tyler Rd
Cross Lanes, WV 25313-1059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Cross Lanes
About NPI 1366053324
Stan Kaczkowski DDS PLLC's National Provider Identifier is 1366053324, issued on Aug 13, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cross Lanes, WV. The record was last updated on Aug 13, 2020.