Organization
ANDREW S. KISS, DDS, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRW KISS DDS, MD (PRESIDENT)
(714) 767-6971
Entity
Organization
Contact information
Practice address
18102 IRVINE BLVD STE 201, TUSTIN, CA 92780-3424
(714) 767-6971
Mailing address
7886 ORCHID DR, HUNTINGTON BEACH, CA 92648-5682
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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