| NPI | 1487812855 |
|---|---|
| Doing Business As | TERRY L. KIPPA, DDS AND GORDON D. KORTHALS, DDS |
| Entity Type | Organization |
| Authorized Contact | GORDON DEAN KORTHALS Corporate President 920-233-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: WI 4375-015) |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2008-06-01 |