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Organization

QUALITY DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL A. KISSELL D.D.S. (OWNER)
(856) 691-0290
Entity
Organization

Contact information

Practice address
301 S MAIN RD, SUITE B-4, VINELAND, NJ 08360-7897
(856) 691-0290
(856) 691-6425
Mailing address
301 S MAIN RD, SUITE B-4, VINELAND, NJ 08360-7897
(856) 691-0290
(856) 691-6425

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI018645
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1223D0001X
DENTAL PUBLIC HEALTH
NJ
Enumeration date
08/10/2005
Last updated
08/22/2020
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