Individual
HEATHER KISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
860 JAMACHA RD STE 201, EL CAJON, CA 92019-3224
(619) 593-3000
Mailing address
1537 WYATT PL, EL CAJON, CA 92020-2320
(619) 300-9980
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
16564
CA
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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