Individual
DAVID ROBERT KISSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
541 HIGH ST, WESTWOOD, MA 02090-1628
(781) 320-0300
(781) 320-8637
Mailing address
541 HIGH ST, WESTWOOD, MA 02090-1628
(781) 320-0300
(781) 320-8637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19477
MA
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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