| Kristo Orthodontics | |
|
519 N 17th Ave Wausau WI 54401-2910 | |
| (715) 842-5459 | |
| Not Available |
| Full Name | Kristo Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 519 N 17th Ave, Wausau, 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 Orthodontics 519 N 17th Ave Wausau WI 54401-2910 Ph: (715) 842-5459 | Kristo Orthodontics 519 N 17th Ave Wausau WI 54401-2910 Ph: (715) 842-5459 |
| NPI Number | 1265891501 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 02/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265891501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3752 (Wisconsin) | Primary |
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