Organization
M KENT KISER, DDS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL KENT KISER DDS (PRESIDENT/OWNER)
(540) 639-0111
Entity
Organization
Contact information
Practice address
1151 E MAIN ST STE C, RADFORD, VA 24141-1761
(540) 639-0111
(540) 639-6111
Mailing address
1151 E MAIN ST STE C, RADFORD, VA 24141-1761
(540) 639-0111
(540) 639-6111
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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