Individual
KRISTIN A D'ACQUISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
W12802 COUNTY ROAD A, BOWLER, WI 54416-9551
(715) 793-4144
(715) 793-4120
Mailing address
W12802 COUNTY ROAD A, BOWLER, WI 54416-9551
(715) 793-4144
(715) 793-4120
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10696-016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10696-016
WISCONSIN STATE LICENSE
WI
Enumeration date
01/20/2010
Last updated
01/20/2010
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