Individual
JEROLD HAYES LIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
680 UNIVERSITY AV, PALO ALTO, CA 94301
(650) 328-6120
(650) 328-1545
Mailing address
680 UNIVERSITY AV, PALO ALTO, CA 94301
(650) 328-6120
(650) 328-1545
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19924
CA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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