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Individual
TIFFANY L SUM
Active
Individual
TIFFANY L SUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105035
CA
Other
Enumeration date
05/14/2020
Last updated
09/09/2020
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