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Individual

THOMAS SHIPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
20235 N CAVE CREEK RD, PHOENIX, AZ 85024-4424
(602) 971-6622
Mailing address
1950 S COUNTRY CLUB DR, MESA, AZ 85210-6008

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D6400
AZ

Other

Enumeration date
12/14/2006
Last updated
07/08/2007
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