| Kristo Ltd | |
|
3902 Oakwood Hills Parkway Eau Claire WI 54701 | |
| (715) 835-5182 | |
| (715) 839-7199 |
| Full Name | Kristo Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3902 Oakwood Hills Parkway, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Steven J Kristo (OWNER) |
| Authorized Official Contact | 7158355182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristo Ltd 3902 Oakwood Hills Parkway Eau Claire WI 54701 Ph: (715) 835-5182 | Kristo Ltd 3902 Oakwood Hills Parkway Eau Claire WI 54701 Ph: (715) 835-5182 |
| NPI Number | 1255447652 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255447652 | NPI | - | NPPES |
| 33682600 | Other | WI | MEDICAL ASSISTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3752 (Wisconsin) | Primary |
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