Individual
DANIEL IP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25875 BARTON RD STE 101, LOMA LINDA, CA 92354-3892
(909) 558-4689
Mailing address
3511 W LA CADENA DR APT 204, RIVERSIDE, CA 92501-2281
(626) 366-6394
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
113251
CA
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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