Individual
DR. MICHAEL JOHN KACEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 EAST NEWTON ST #113, BOSTON, MA 02118
(617) 638-8000
Mailing address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-8000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13428
MA
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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