Thomas X Kissell Estate

NPI #1184927857 in Latrobe, Pennsylvania

Provider Information

NPI Number: 1184927857
Entity Type: Organization
Organization Name: Thomas X Kissell Estate
Primary Specialty: Dentist
Enumeration Date: Dec 17, 2010
Last Updated: Dec 17, 2010

Practice Location

Address: 5927 STATE ROUTE 981
Address 2: STE 1
City: Latrobe
State: Pennsylvania
ZIP Code: 15650-2687
Phone: (724) 539-3020

Authorized Official

Name: MRS. MARY C KISSELL
Title: BUSINESS MANAGER
Phone: (724) 539-3020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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