Provider Demographics
NPI:1386883353
Name:MARIFI MAGHARI PIPKIN,DDS,INC.
Entity type:Organization
Organization Name:MARIFI MAGHARI PIPKIN,DDS,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIFI
Authorized Official - Middle Name:MAGHARI
Authorized Official - Last Name:PIPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-961-0050
Mailing Address - Street 1:PO BOX 3884
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-0076
Mailing Address - Country:US
Mailing Address - Phone:760-961-0050
Mailing Address - Fax:760-961-0035
Practice Address - Street 1:13675 NIABI RD
Practice Address - Street 2:STE. 3
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308-6516
Practice Address - Country:US
Practice Address - Phone:760-961-0050
Practice Address - Fax:760-961-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA520841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty