Individual
DR. SAMUEL H IP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29861 SANTA MARGARITA PKWY, SUITE #100, RANCHO SANTA MARGARITA, CA 92688-3609
(949) 589-4819
(949) 589-4841
Mailing address
29861 SANTA MARGARITA PKWY, SUITE #100, RANCHO SANTA MARGARITA, CA 92688-3609
(949) 589-4819
(949) 589-4841
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
47734
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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