Wallace J Lipp in Granada Hills - Dentist

Wallace J Lipp - NPI 1932117991

Wallace J Lipp is a Dentist in Granada Hills, California. Wallace J Lipp practices all healthcare services and medical treatments related to Dentist. The NPI Number for Wallace J Lipp is 1932117991. The last update date is 2007-07-08.

Wallace J Lipp's current location address is 16605 Devonshire St, Granada Hills, California. You can contact this provider via phone number 8183664867 and fax number 8183667964. The mailing address for Wallace J Lipp is 16605 Devonshire St, Granada Hills, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Wallace J Lipp
Address 16605 Devonshire St, Granada Hills, California
Phone Number 8183664867
Fax Number 8183667964
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1932117991
Provider Enumeration Date 2006-08-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 16605 Devonshire St
City Granada Hills
State California (CA)
Post Code 91344
Phone Number 8183664867
Fax Number 8183667964

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 16572
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Wallace J Lipp

What is the unique identification code assigned to Wallace J Lipp by the Centers for Medicare & Medicaid Services?

The Wallace J Lipp has been issued the NPI (National Provider Identifier) 1932117991. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Wallace J Lipp?

The Wallace J Lipp is physically situated at 16605 Devonshire St, in the city of Granada Hills, state of CA, with the postal code 91344.

What is Wallace J Lipp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Wallace J Lipp is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date did the Wallace J Lipp receive the assignment of its 1932117991 from the Centers for Medicare & Medicaid Services?

The Wallace J Lipp was issued its 1932117991 by the Centers for Medicare & Medicaid Services on 2006-08-04.

When was the information regarding Wallace J Lipp, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wallace J Lipp, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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