Individual
DR. LANCE R KISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
20 PINE STREET, PLAINVILLE, CT 06062
(860) 747-2703
(860) 747-4837
Mailing address
20 PINE STREET, PLAINVILLE, CT 06062
(860) 747-2703
(860) 747-4837
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5119
CT
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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