Individual
MS. TERESA MARS PIPKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1035 NIDER BLVD STE 100, VIRGINIA BEACH, VA 23459-8701
(757) 953-8334
Mailing address
748 CREPE MYRTLE LN, VIRGINIA BEACH, VA 23455-5812
(757) 409-5553
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402004442
VA
124Q00000X
Dental Hygienist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15538317680
DENTAL HYGIENIST
—
Enumeration date
09/03/2008
Last updated
12/05/2022
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