| Lance R Kiss Dmd | |
|
20 Pine St Plainville CT 06062-1941 | |
| (860) 747-2703 | |
| (860) 747-4837 |
| Full Name | Lance R Kiss Dmd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 20 Pine St, Plainville, Connecticut |
| Authorized Official Name and Position | Lance R Kiss (ORTHDONTIST) |
| Authorized Official Contact | 8607472703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lance R Kiss Dmd 20 Pine St Plainville CT 06062-1941 Ph: (860) 747-2703 | Lance R Kiss Dmd 20 Pine St Plainville CT 06062-1941 Ph: (860) 747-2703 |
| NPI Number | 1689819674 |
|---|---|
| Provider Enumeration Date | 12/05/2008 |
| Last Update Date | 12/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689819674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5119 (Connecticut) | Primary |
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