Individual
DR. TIFFANIE T TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 261-7848
(360) 232-8400
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 261-7848
(360) 232-8400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61094324
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202351
—
WA
Enumeration date
09/02/2020
Last updated
07/25/2022
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