Individual
DR. JACLYN MARIE KACHURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10506
KY
1223P0221X
Pediatric Dentistry
Primary
1112
KY
Other
Enumeration date
04/02/2018
Last updated
09/15/2020
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