Individual
DR. DERREN ELVIS TIPPETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 TESSITORE CT, SUITE C, MONTROSE, CO 81401-5689
(856) 206-2164
Mailing address
100 TESSITORE CT, SUITE C, MONTROSE, CO 81401-5689
(856) 206-2164
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9579
CO
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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