Individual
DR. DERYL PALMER KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
765 HIGH ST, BATH, ME 04530-2496
(207) 443-3220
(207) 443-5462
Mailing address
765 HIGH ST, BATH, ME 04530-2496
(207) 443-3220
(207) 443-5462
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2767
ME
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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