DR. J Michael Krisko, DDS

NPI #1710034574 in Kankakee, Illinois

Provider Information

NPI Number
1710034574
Entity Type
Individual
Name
DR. J Michael Krisko, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jan 4, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
401 N WALL ST
Address 2
STE 206
ZIP Code
60901-2934
Phone
(815) 939-2012

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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