Individual
DR. TERRY KRISTALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
910 17TH ST NW, SUITE 108, WASHINGTON, DC 20006-2601
(202) 887-1909
(202) 887-0417
Mailing address
910 17TH ST NW, SUITE 108, WASHINGTON, DC 20006-2601
(202) 887-1909
(202) 887-0417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1000559
DC
Other
Enumeration date
04/13/2007
Last updated
09/20/2010
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