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1265504997
MAT KIISK
SAN FRANCISCO, CA
NPI
1265504997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 20549)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Dr. MAT KIISK DDS
3100 19TH AVE
SAN FRANCISCO, CA 94132-2006
Phone number: 415-584-2537
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Mailing Address
Dr. MAT KIISK DDS
25 OAKHURST RD
SAN RAFAEL, CA 94901-5256
Phone number: 415-721-7349
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