Individual
DR. TERRY LEE KIPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 S MAIN ST, OSHKOSH, WI 54902-6074
(920) 233-8882
Mailing address
2958 OAKWOOD LN, OSHKOSH, WI 54904-8437
(920) 233-1509
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5001751-015
WI
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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