Individual
DR. MICHAEL J. CRISTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
USCG HQ, COMDT (CG-1122), 2100 2ND STREET ROOM 5314, WASHINGTON, DC 20593-0001
(757) 483-8686
(757) 483-8610
Mailing address
USCG HQ, COMDT (CG-1122), 2100 2ND STREET ROOM 5314, WASHINGTON, DC 20593-0001
(757) 483-8686
(757) 483-8610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 10266
FL
Other
Enumeration date
12/23/2005
Last updated
07/08/2007
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