| NPI | 1073561213 |
|---|---|
| Professional Name | JOHN MCKISSOCK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO 9878) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN 16025) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2022-05-16 |