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Individual
DR. VINCENT IP
Active
Individual
DR. VINCENT IP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22901
TX
122300000X
Dentist
Primary
5062
NV
122300000X
Dentist
53391
NY
Other
Enumeration date
09/10/2007
Last updated
07/23/2009
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