NPI | 1730235888 |
---|---|
Doing Business As | KRASKA CENTER FOR COSMETIC AND GENERAL DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAN CHARLES KRASKA Owner 336-292-0863 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4505) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 8000) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2007-11-15 |