Individual
EDWARD PHILLIP KISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5012 58TH AVENUE CT W, UNIVERSITY PLACE, WA 98467-3689
(253) 566-0456
Mailing address
14315 62ND AVE NW, GIG HARBOR, WA 98332-8664
(253) 851-4025
(253) 853-6352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6169
WA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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