Provider Demographics
NPI:1225153596
Name:RIPLEY, INC., ROBERT LAWRENCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LAWRENCE
Last Name:RIPLEY, INC.
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1473 LIVE OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991
Mailing Address - Country:US
Mailing Address - Phone:530-751-0599
Mailing Address - Fax:530-751-0654
Practice Address - Street 1:1473 LIVE OAK BLVD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991
Practice Address - Country:US
Practice Address - Phone:530-751-0599
Practice Address - Fax:530-751-0654
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA372781223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry