Individual
GINA TIPPETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5990 FASHION POINT DR STE 2, SOUTH OGDEN, UT 84403-5179
(801) 475-4288
Mailing address
3670 N 175 E, NORTH OGDEN, UT 84414-2624
(801) 698-1321
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7007595-9920
UT
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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