Individual
PHILLIP TIPPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
431 VICTORIA RD, NEWTON, KS 67114-5653
(316) 283-2970
Mailing address
431 VICTORIA RD, NEWTON, KS 67114-5653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60985
KS
Other
Enumeration date
05/27/2014
Last updated
06/27/2014
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