Individual
JONATHAN R KACZMARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
890 SUMMIT CROSSING PL, GASTONIA, NC 28054-2192
(704) 874-0345
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5191
(704) 671-1404
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
8844
NC
1223P0221X
Pediatric Dentistry
Primary
9201
SC
Other
Enumeration date
07/27/2009
Last updated
02/04/2021
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