Individual
DR. MADELEINE LEIGH DIPAOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
219 AVENUE I STE 200, REDONDO BEACH, CA 90277
(310) 373-0007
Mailing address
219 AVENUE I STE 200, REDONDO BEACH, CA 90277-5618
(775) 750-4986
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.026050
OH
1223P0221X
Pediatric Dentistry
Primary
106121
CA
1223P0221X
Pediatric Dentistry
30.026050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392787
—
OH
Enumeration date
03/06/2019
Last updated
01/31/2022
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