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Organization
ANDREW S. KISS, DDS, MD, INC.
Active
Organization
ANDREW S. KISS, DDS, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRW KISS DDS, MD (PRESIDENT)
(714) 767-6971
Entity
Organization
Contact information
Practice address
18102 IRVINE BLVD STE 201, TUSTIN, CA 92780-3424
(714) 767-6971
Mailing address
7886 ORCHID DR, HUNTINGTON BEACH, CA 92648-5682
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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