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Organization
MARK D. PHIPPS DDS
Active
Organization
MARK D. PHIPPS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D PHIPPS D.D.S. (OWNER)
(530) 885-0697
Entity
Organization
Contact information
Practice address
161 PALM AVE, SUITE 12, AUBURN, CA 95603-3718
(530) 885-0697
(530) 889-5697
Mailing address
161 PALM AVE, SUITE 12, AUBURN, CA 95603-3718
(530) 885-0697
(530) 889-5697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588795249
UNDEFINED PHYSICIAN (GENERAL DENTIST)
CA
Enumeration date
03/09/2007
Last updated
08/25/2015
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