Individual
ALEXANDER JOHN KRISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
3452 GRAYSTONE PL SE, CONOVER, NC 28613-8200
(828) 322-1667
Mailing address
PO BOX 2526, HICKORY, NC 28603-2526
(828) 322-1667
(828) 324-5877
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12693
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9962
KY
Other
Enumeration date
03/28/2017
Last updated
06/20/2023
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