Individual
STEVEN J KRISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3902 OAKWOOD HILLS PKWY, EAU CLAIRE, WI 54701-7780
(715) 835-5182
(715) 839-7199
Mailing address
3902 OAKWOOD HILLS PKWY, EAU CLAIRE, WI 54701-7780
(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
WISCONSIN MEDICAL ASSISTANCE
WI
Enumeration date
05/07/2009
Last updated
02/01/2016
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