Individual provider · Type 1 NPI

Mark Paul Cipolla, DMD

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1306193388 Active

Practice location

7703 Floyd Curl Drive, Msc 7903, Ut Health Science Center At San Antonio, Advanced Gener
San Antonio, TX 78229-3900

Fax (210) 567-3443

Mailing address

7703 Floyd Curl Drive, Msc 7914, Ut Health Science Center At San Antonio
San Antonio, TX 78229-3900

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XETN88 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306193388

Mark Paul Cipolla, DMD's National Provider Identifier is 1306193388, issued on Aug 9, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on Aug 9, 2012.