Dental Board of California
Licensing details for: 16755
Name: HOMETOWN DENTAL DENTAL OFFICE OF DR. MARIFI M. PIPKIN
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: HOMETOWN DENTAL
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PIPKIN, MARIFI MAGHARI
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: PIPKIN, MARIFI MAGHARI
License/Registration Type: Dentist License
License Number: 52084 Primary Status: Current - Active
Address :
20779 BEAR VALLEY RD.
SUITE 7B
APPLE VALLEY CA 92308
SAN BERNARDINO COUNTY
