Individual
DR. MICHAEL A KISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
301 SOUTH MAIN ROAD, MAINTREE SHOPPING CENTER 301 SUITE B-4, VINELAND, NJ 08360
(856) 691-0290
Mailing address
301 SOUTH MAIN ROAD, MAINTREE SHOPPING CENTER 301 SUITE B-4, VINELAND, NJ 08360
(856) 691-0290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01864500
NJ
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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