DALLIN JAY TIPTON

DEKALB, IL
NPI1285258129
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.032591)
Enumeration Date2020-06-06
Last Update Date2020-06-06
Business Address
DALLIN JAY TIPTON DMD
2235 SYCAMORE RD
DEKALB, IL 60115-2046
Phone number: 815-517-0178
Mailing Address
DALLIN JAY TIPTON DMD
2235 SYCAMORE RD
DEKALB, IL 60115-2046
Phone number: 815-517-0178