Individual
PAULINA M KRISKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CMC DENTAL CLINIC, 1000 BLYTHE BLVD, CHARLOTTE, NC 28203
(704) 355-2165
Mailing address
771 REEVES MILL RD, MOUNT AIRY, NC 27030-5979
(336) 755-0946
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32814206
NC
122300000X
Dentist
435135241
NC
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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