Lynnette Cipolla RDH

NPI 1720480957 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1720480957
Gender Female
Enumeration Date 09/18/2014
Last Updated 09/18/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
77 NEALY AVENUE
633D MEDICAL GROUP
JOINT BASE LANGLEY-EUSTIS VA, 23665-2040, US
Phone (757) 225-7630
Fax
Business Location
77 NEALY AVENUE
633D MEDICAL GROUP
JOINT BASE LANGLEY-EUSTIS VA, 23665-2040, US
Phone (757) 225-7630
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State South Carolina
License Number 8281
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According to our database, Lynnette Cipolla RDH NPI is 1720480957, taxonomy code is 124Q00000X and license number is 8281, license state is located at South Carolina. Lynnette Cipolla RDH physically located at 77 Nealy Avenue, Joint Base Langley-eustis VA, 23665-2040. NPI Number Lynnette Cipolla RDH has the Individual type.

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1720480957 NPI number is provided on an as is basis without warranty of any kind. 1720480957 is maintained by the National Plan & Provider Enumeration System. The contents of Lynnette Cipolla RDH are for informational purposes only.