| NPI | 1841228137 |
|---|---|
| Professional Name | JACK I LIPTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D4375) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 60861) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-09-21 |