Individual
TIFFANY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGENTIST
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
102601
NV
124Q00000X
Dental Hygienist
Primary
11142
SC
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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