Organization
MARTY R. LIPSEY, DDS, MS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTY RICHARD LIPSEY D.D.S., M.S. (PRESIDENT)
(209) 380-5486
Entity
Organization
Contact information
Practice address
2421 HARTNELL AVE, REDDING, CA 96002-2340
(209) 527-1995
(866) 527-2335
Mailing address
3025 MCHENRY AVE, SUITE N, MODESTO, CA 95350-1466
(209) 527-1995
(866) 527-2335
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
26675
CA
Other
Enumeration date
06/08/2012
Last updated
01/15/2013
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