DR. Thomas Kissner

NPI #1033276373 in Green Bay, Wisconsin

Provider Information

NPI Number: 1033276373
Entity Type: Individual
Name: DR. Thomas Kissner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 3, 2007
Last Updated: Feb 3, 2008

Practice Location

Address: 2476 S ONEIDA ST
City: Green Bay
State: Wisconsin
ZIP Code: 54304-5289
Phone: (920) 965-0764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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