Ippisch, Kevin D

Ippisch, Kevin D is an individual health care provider with primary practice located at 9000 Soquel Ave Ste 202, Santa Cruz CA 95062. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ippisch, Kevin D can be contacted via phone (831) 476-3200.

Contact Information

Primary practice address
9000 Soquel Ave Ste 202 Santa Cruz CA 95062
Phone: (831) 476-3200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 25401 California

Profile Details

NPI number 1346250917
LBN Legal business name Ippisch, Kevin D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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