| NPI | 1982721809 |
|---|---|
| Former Legal Business Name | MARY A. SHIPP, D.D.S., LTD. |
| Entity Type | Organization |
| Authorized Contact | MARY A. SHIPP President 651-257-2921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2020-08-22 |