Kristo Orthodontics | |
404 Wisconsin Ave Amery WI 54001-1071 | |
(715) 268-8109 | |
Not Available |
Full Name | Kristo Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 404 Wisconsin Ave, Amery, Wisconsin |
Authorized Official Name and Position | Steven Kristo (PRESIDENT) |
Authorized Official Contact | 7158355182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kristo Orthodontics 404 Wisconsin Ave Amery WI 54001-1071 Ph: (715) 268-8109 | Kristo Orthodontics 404 Wisconsin Ave Amery WI 54001-1071 Ph: (715) 268-8109 |
NPI Number | 1093194185 |
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Provider Enumeration Date | 05/22/2015 |
Last Update Date | 05/22/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093194185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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