EVAN SHIPP

JBSA LACKLAND, TX
NPI1023378999
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: TX  35986)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: CA  61852)
Enumeration Date2012-05-24
Last Update Date2020-07-22
Business Address
EVAN SHIPP
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 512-621-5529
Mailing Address
EVAN SHIPP
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: