Organization
SMILES IN MOTION OF MINNESOTA PC
Active
Other names
Smiles in Motion, Great River Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN KRISTO DDS, MS (OWNER)
(651) 777-8182
Entity
Organization
Contact information
Practice address
2480 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-5121
(651) 777-8182
Mailing address
3902 OAKWOOD HILLS PKWY, EAU CLAIRE, WI 54701-7780
(651) 777-8182
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
12/16/2019
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