Individual
IVONA ROXANA CRISTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
430 MAIN ST, GREEN BAY, WI 54301-5115
(920) 431-0345
Mailing address
430 MAIN ST, GREEN BAY, WI 54301-5115
(920) 431-0345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401412152
VA
122300000X
Dentist
1001430-15
WI
122300000X
Dentist
Primary
2901021490
MI
122300000X
Dentist
3828
WV
Other
Enumeration date
09/05/2008
Last updated
04/04/2017
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