Individual
MR. MARK G KACERIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
419 BOSTON POST ROAD, WEST HAVEN, CT 06516
(203) 931-6029
(203) 931-6083
Mailing address
419 BOSTON POST ROAD, WEST HAVEN, CT 06516
(203) 931-6029
(203) 931-6083
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
004980
CT
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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