Provider Demographics
NPI:1952471930
Name:PIPKIN, MARIFI MAGHARI (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIFI
Middle Name:MAGHARI
Last Name:PIPKIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3884
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307
Mailing Address - Country:US
Mailing Address - Phone:760-247-8802
Mailing Address - Fax:760-247-0277
Practice Address - Street 1:20779 BEAR VALLEY RD
Practice Address - Street 2:STE. 7B
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308-6975
Practice Address - Country:US
Practice Address - Phone:760-247-8802
Practice Address - Fax:760-247-0277
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2016-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA520841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice