Individual
TIFFANY TRUC TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 NOYO HTS, FORT BRAGG, CA 95437-4535
(408) 368-9879
Mailing address
119 NOYO HTS, FORT BRAGG, CA 95437-4535
(408) 368-9879
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
492
CA
Other
Enumeration date
04/16/2022
Last updated
05/04/2022
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