| Kristo Ltd | |
|
440 Chestnut St # 100 Wisconsin Rapids WI 54494-4807 | |
| (715) 421-5255 | |
| Not Available |
| Full Name | Kristo Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 440 Chestnut St # 100, Wisconsin Rapids, Wisconsin |
| Authorized Official Name and Position | Tammy Wegner (OPERATIONS SUPPORT 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 54701-7780 Ph: (715) 598-7473 | Kristo Ltd 440 Chestnut St # 100 Wisconsin Rapids WI 54494-4807 Ph: (715) 421-5255 |
| NPI Number | 1407488075 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 02/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407488075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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