| NPI | 1528569563 |
|---|---|
| Doing Business As | KAC DENTAL |
| Entity Type | Organization |
| Authorized Contact | KEVIN CRISCITIELLO Owner 804-272-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401415867) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2026-10-09 |