Individual
MS. MARJORIE CHRISTIANE KISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
440 E HUNTINGTON DR STE 101, ARCADIA, CA 91006-3750
(626) 447-5126
Mailing address
4703 LARKSPUR LN, LA VERNE, CA 91750-1958
(909) 392-3565
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
34731
CA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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