Organization
BRYAN A. LIPSON, LTD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN A. LIPSON DDS (PRESIDENT)
(708) 532-9303
Entity
Organization
Contact information
Practice address
18400 MAPLE CREEK DR, SUITE 100, TINLEY PARK, IL 60477-2976
(708) 632-9303
(708) 532-9324
Mailing address
18400 MAPLE CREEK DR, SUITE 100, TINLEY PARK, IL 60477-2976
(708) 632-9303
(708) 532-9324
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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