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Organization

KRISTO, LTC

Active
Other names
Kristo Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN J KRISTO DDS, MS (OWNER)
(715) 835-5182
Entity
Organization

Contact information

Practice address
519 N 17TH AVE, WAUSAU, WI 54401-2910
(715) 842-5459
Mailing address
519 N 17TH AVE, WAUSAU, WI 54401-2910
(715) 842-5459

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3752
WI

Other

Enumeration date
02/15/2016
Last updated
02/15/2016
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