Organization
KRISTO LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J KRISTO DDS MS (OWNER)
(715) 835-5182
Entity
Organization
Contact information
Practice address
3902 OAKWOOD HILLS PARKWAY, EAU CLAIRE, WI 54701
(715) 835-5182
(715) 839-7199
Mailing address
3902 OAKWOOD HILLS PARKWAY, EAU CLAIRE, WI 54701
(715) 835-5182
(715) 839-7199
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3752
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33682600
MEDICAL ASSISTANCE
WI
Enumeration date
08/21/2006
Last updated
08/22/2020
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