JOHN MATTHEW TRIPP

GRANTS PASS, OR
NPI1407153612
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-DO-10189132)
Additional Taxonomies124Q00000X Dental Hygienist
(Licence: OR  H5633)
Enumeration Date2011-02-24
Last Update Date2019-12-20
Business Address
JOHN MATTHEW TRIPP EPDH, LD
212 NE SAVAGE ST STE B
GRANTS PASS, OR 97526-1361
Phone number: 541-476-8338
Mailing Address
JOHN MATTHEW TRIPP EPDH, LD
4542 AVERILL DR
GRANTS PASS, OR 97526-4114
Phone number: 541-295-1264