Individual
DR. MICHAEL JOHN ANDRESKI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1511 RIVER ST, WILKESBORO, NC 28697-7391
(336) 667-1029
Mailing address
1511 RIVER ST, WILKESBORO, NC 28697-7391
(336) 667-1029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5790
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990239
—
NC
Enumeration date
04/09/2007
Last updated
08/23/2007
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