Organization
LANCE R KISS DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE R KISS DMD (ORTHDONTIST)
(860) 747-2703
Entity
Organization
Contact information
Practice address
20 PINE ST, PLAINVILLE, CT 06062-1941
(860) 747-2703
(860) 747-4837
Mailing address
20 PINE ST, PLAINVILLE, CT 06062-1941
(860) 747-2703
(860) 747-4837
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5119
CT
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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