# KRASKA AND KRASKA DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kraska Center For Cosmetic And General Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730235888
- **Authorized official:** DR. JAN CHARLES KRASKA D.D.S. (OWNER)
- **Authorized official phone:** (336) 292-0863

## Contact information

- **Practice address:** 502 NORTH ELAM AVENUE, GREENSBORO, NC 27403
- **Practice address phone:** (336) 292-0863
- **Practice address fax:** (336) 292-2583
- **Mailing address:** 502 NORTH ELAM AVENUE, GREENSBORO, NC 27403
- **Mailing address phone:** (336) 292-0863
- **Mailing address fax:** (336) 292-2583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4505 | NC | Yes |
| 1223G0001X | General Practice Dentistry | 8000 | NC | — |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 11/15/2007