Individual
MRS. TIFFANY ANN KILPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, PHDHP
Contact information
Practice address
1804 ELMHURST AVE, JERSEY SHORE, PA 17740-1514
(570) 295-8089
Mailing address
PO BOX 642, JERSEY SHORE, PA 17740-0642
(570) 295-8089
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH071708
PA
Other
Enumeration date
12/11/2020
Last updated
11/17/2021
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