| Kristo Ltd | |
|
115 Alpine Court Shawano WI 54166 | |
| (715) 526-2544 | |
| Not Available |
| Full Name | Kristo Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 115 Alpine Court, Shawano, Wisconsin |
| Authorized Official Name and Position | Tammy Wegner (OPERATIONS MANAGER) |
| Authorized Official Contact | 7155987473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristo Ltd 3902 Oakwood Hills Pkwy Eau Claire WI 54701 Ph: (715) 835-5182 | Kristo Ltd 115 Alpine Court Shawano WI 54166 Ph: (715) 526-2544 |
| NPI Number | 1184260358 |
|---|---|
| Provider Enumeration Date | 11/22/2019 |
| Last Update Date | 11/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184260358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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