Individual
DR. JASON JOHN KISHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
211 N 12TH ST, ATTENTION DENTAL DEPARTMENT, LEHIGHTON, PA 18235-1138
(610) 377-7354
Mailing address
RR 3 BOX 3129, SAYLORSBURG, PA 18353-9621
(610) 381-7281
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS035165
PA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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