Individual
DR. MARTY RICHARD LIPSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3025 MCHENRY AVE, STE N, MODESTO, CA 95350-1449
(209) 527-1995
Mailing address
3025 MCHENRY AVE, STE N, MODESTO, CA 95350-1449
(209) 527-3990
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
26675
CA
Other
Enumeration date
05/23/2005
Last updated
03/30/2011
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