Organization
THOMAS X KISSELL ESTATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY C KISSELL (BUSINESS MANAGER)
(724) 539-3020
Entity
Organization
Contact information
Practice address
5927 STATE ROUTE 981, STE 1, LATROBE, PA 15650-2687
(724) 539-3020
(724) 539-2886
Mailing address
5927 STATE ROUTE 981, STE 1, LATROBE, PA 15650-2687
(724) 539-3020
(724) 539-2886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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