Individual
TIFFANY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 452-8251
Mailing address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
18-149-DHAT
AK
Other
Enumeration date
07/25/2018
Last updated
09/07/2022
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