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Organization
JASON T LIPSCOMB DDS P C
Active
Organization
JASON T LIPSCOMB DDS P C
Active
Other names
Jason T. Lipscomb D.D.S. P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON T. LIPSCOMB D.D.S. (OWNER)
(540) 373-1641
Entity
Organization
Contact information
Practice address
200 EXECUTIVE CENTER PKWY, SUITE 104, FREDERICKSBURG, VA 22401-3177
(540) 373-1641
Mailing address
200 EXECUTIVE CENTER PKWY, SUITE 104, FREDERICKSBURG, VA 22401-3177
(540) 373-1641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410585
VA
Other
Enumeration date
08/06/2007
Last updated
05/08/2012
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