Kerollos Wissa
Kerollos Wissa is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
Boston, MANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1617 Catalina Blvd, Deltona, FL 32725-9699 — (386) 457-4520
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN29645 (FL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1376301697 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 11, 2024 |
| Last updated in NPPES | October 4, 2024 |
| Certification date | October 4, 2024 |
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