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Individual

MS. KRISTINA MARIE BATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
105 W SILVER SPRING DR, WHITEFISH BAY, WI 53217-4708
(414) 964-0680
Mailing address
105 W SILVER SPRING DR, WHITEFISH BAY, WI 53217-4708
(414) 964-0680

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7261-15
WI

Other

Enumeration date
06/17/2014
Last updated
06/17/2014
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