Individual
DR. MICHAEL P KISIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
119 MAIN ST, HURON, OH 44839-1620
(419) 433-5093
(419) 433-7098
Mailing address
119 MAIN ST, HURON, OH 44839-1620
(419) 433-5093
(419) 433-7098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-15826
OH
Other
Enumeration date
12/31/2010
Last updated
12/31/2010
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