DR. Kipp Owens Church, D.M.D

NPI #1255640553 in Yuma, Arizona

Provider Information

NPI Number
1255640553
Entity Type
Individual
Name
DR. Kipp Owens Church, D.M.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.M.D
Enumeration Date
Oct 4, 2010
Last Updated
Oct 4, 2010

Practice Location

Address
550 W 16TH ST
City
Yuma
State
Arizona
ZIP Code
85364-4632
Phone
(928) 782-4392

Specialties & Taxonomy Codes

Specialty
Dentist

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