Individual
DR. GERALD A TRIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
714 AVENUE G, FORT MADISON, IA 52627-2927
(319) 372-3614
Mailing address
714 AVENUE G, FORT MADISON, IA 52627-2927
(319) 372-3614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7683
IA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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