Individual
DR. JESSICA MARIE PIEPENBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2850 24TH ST, ROCK ISLAND, IL 61201-5308
(309) 786-7782
Mailing address
2850 24TH ST, ROCK ISLAND, IL 61201-5308
(309) 786-7782
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019.031822
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
021.003099
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DDS-09842
IA
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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