Individual
KELLY LIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
106 SHADOWOOD DR APT F, CHAPEL HILL, NC 27514-2408
(484) 947-7435
Mailing address
106 SHADOWOOD DR APT F, CHAPEL HILL, NC 27514-2408
(484) 947-7435
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2016
Last updated
02/06/2016
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