Individual
DR. AMANDA ELYSE KRYSIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6419 PELICAN XING, GONZALES, LA 70737-8526
(361) 815-8087
Mailing address
6419 PELICAN XING, GONZALES, LA 70737-8526
(361) 815-8087
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25690
TX
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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