Individual
DR. JOEL EDWIN TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4996 S POWER RD, MESA, AZ 85212-3602
(480) 840-3600
(480) 840-3200
Mailing address
4996 S POWER RD, MESA, AZ 85212-3602
(480) 840-3600
(480) 840-3200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401412561
VA
122300000X
Dentist
Primary
D 7856
AZ
122300000X
Dentist
DS037898
PA
Other
Enumeration date
07/21/2009
Last updated
08/24/2009
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