Individual
DR. ANDREW JOHN KLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9059 GARDNER LOOP RD, 3RD FLOOR, JB LEWIS-MCCHORT, WA 98433-0000
(240) 344-7852
Mailing address
BLDG 9900, LINCOLN STREET, 2ND FLOOR, JB LEWIS-MCCHORD, WA 98433
(210) 221-0826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15608
MD
Other
Enumeration date
09/07/2014
Last updated
07/17/2023
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