Provider Demographics
NPI:1598093288
Name:KACER, CAROLINE M (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:M
Last Name:KACER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:6471 N LA CHOLLA BLVD
Mailing Address - Street 2:101
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-3141
Mailing Address - Country:US
Mailing Address - Phone:520-742-6136
Mailing Address - Fax:520-742-5721
Practice Address - Street 1:6471 N. LA CHOLLA BLVD
Practice Address - Street 2:101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741
Practice Address - Country:US
Practice Address - Phone:520-742-6136
Practice Address - Fax:520-742-5721
Is Sole Proprietor?:No
Enumeration Date:2009-11-18
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZD78871223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery