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Individual

DR. ADAM J SHIPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
1555 S TIMESQUARE LN, BOISE, ID 83709-8266
(208) 672-8860
(208) 672-8767
Mailing address
1555 S TIMESQUARE LN, BOISE, ID 83709-8266
(208) 672-8860
(208) 672-8767

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D3834EN
ID

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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