Individual
DR. ALYSSA NIKOLE KIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
333 MAIN ST, MADISON, NJ 07940-2370
(973) 822-2308
Mailing address
109 ELK CT, BLUE BELL, PA 19422-1458
(215) 630-3731
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI03102700
NJ
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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