Individual
PHILLIP LOPICCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
31 NIGHTINGALE ROAD BUILDING 5513, EDWARDS, CA 93524-2901
(661) 277-2872
Mailing address
409 MAKIN AVE, PALMDALE, CA 93551-2936
(661) 406-0881
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30509
CA
Other
Enumeration date
07/25/2006
Last updated
02/17/2020
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