Individual
DR. DANIEL KAZACHKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1144 NEWPORT AVE, ATTLEBORO, MA 02703-7033
(508) 223-3900
Mailing address
131 M ST, #1, BOSTON, MA 02127-3176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22168
MA
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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