Individual
DR. TIFFANY ROSE GORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1210 W BRAKER LN, AUSTIN, TX 78758-3801
(512) 978-9880
(512) 279-2556
Mailing address
2115 KRAMER LN, SUITE 100, AUSTIN, TX 78758-4013
(512) 978-9000
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
31822
TX
1223G0001X
General Practice Dentistry
58986
CA
Other
Enumeration date
12/11/2009
Last updated
02/02/2017
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