Individual
IAN SAMUEL PIEPGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
520 N 12TH ST # 222, RICHMOND, VA 23298-5064
(859) 270-9594
Mailing address
520 N 12TH ST # 222, RICHMOND, VA 23298-5064
(859) 270-9594
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0442000525
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2024
Last updated
06/27/2024
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