DR. Stanley Warren Kaczkowski, DDS
NPI #1962502831 in Cross Lanes, West Virginia
Provider Information
- NPI Number
- 1962502831
- Entity Type
- Individual
- Name
- DR. Stanley Warren Kaczkowski, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5376 BIG TYLER RD
- City
- Cross Lanes
- State
- West Virginia
- ZIP Code
- 25313-1059
- Phone
- (304) 776-2223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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