Individual
DR. MICHAEL JOSEPH DACIEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
411 S CAMP MEADE RD, LINTHICUM, MD 21090-2701
(410) 850-0505
Mailing address
411 S CAMP MEADE RD, LINTHICUM, MD 21090-2701
(410) 850-0505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7921
MD
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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