| Kristo Ltd | |
|
1460 10th Ave Baldwin WI 54002-9342 | |
| (715) 684-5858 | |
| Not Available |
| Full Name | Kristo Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1460 10th Ave, Baldwin, Wisconsin |
| Authorized Official Name and Position | Steven Kristo (PRESIDENT) |
| Authorized Official Contact | 7158355182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristo Ltd 1460 10th Ave Po Box 516 Baldwin WI 54002-9342 Ph: (715) 684-5858 | Kristo Ltd 1460 10th Ave Baldwin WI 54002-9342 Ph: (715) 684-5858 |
| NPI Number | 1104205285 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104205285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Douglas D Podoll Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 10th Ave, Baldwin, WI 54002 Phone: 715-684-5858 Fax: 715-684-5968 | |
Purdy Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1730 8th Avenue, Baldwin, WI 54002 Phone: 715-688-3110 |