Individual
EVAN HIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
301 E PLUM ST, HAUBSTADT, IN 47639-8208
(812) 768-6700
Mailing address
301 E PLUM ST, HAUBSTADT, IN 47639-8208
(812) 768-6700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012352A
IN
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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