Individual
DR. TIFFANY KUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
489 MAIN ST STE C, GROTON, MA 01450-1388
(978) 708-0080
(978) 708-0081
Mailing address
489 MAIN ST STE C, GROTON, MA 01450-1388
(516) 304-0250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02565400
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02565400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/04/2013
Last updated
07/13/2022
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