| Marty R Lipsey Dds Ms Inc | |
|
605 Standiford Ave Suite H Modesto CA 95350-1000 | |
| (209) 527-1995 | |
| (877) 641-2283 |
| Full Name | Marty R Lipsey Dds Ms Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 605 Standiford Ave, Modesto, California |
| Authorized Official Name and Position | Marty R Lipsey (PRESIDENT) |
| Authorized Official Contact | 2095271995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marty R Lipsey Dds Ms Inc 26626 Brooks Cir Stevenson Ranch CA 91381-1459 Ph: (209) 527-1995 | Marty R Lipsey Dds Ms Inc 605 Standiford Ave Suite H Modesto CA 95350-1000 Ph: (209) 527-1995 |
| NPI Number | 1326204009 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 06/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326204009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 26675 (California) | Primary |
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