Organization
MARTY R LIPSEY DDS MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTY R LIPSEY DDS MS (PRESIDENT)
(209) 527-1995
Entity
Organization
Contact information
Practice address
605 STANDIFORD AVE, SUITE H, MODESTO, CA 95350-1000
(209) 527-1995
(877) 641-2283
Mailing address
26626 BROOKS CIR, STEVENSON RANCH, CA 91381-1459
(209) 527-1995
(866) 527-2335
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
26675
CA
Other
Enumeration date
08/01/2008
Last updated
06/21/2014
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