Individual
DR. MARK A. PACIOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS, PC
Contact information
Practice address
5099 WEST GENESEE STREET, CAMILLUS, NY 13031
(315) 487-3335
(315) 487-5865
Mailing address
4981 W GENESEE ST, CAMILLUS, NY 13031-2313
(315) 487-3335
(315) 487-5865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045777
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
045777
NY
Other
Enumeration date
11/03/2006
Last updated
11/13/2017
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