Individual
MS. TIFFANY COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6677 RICHMOND HWY, ALEXANDRIA, VA 22306-6647
(703) 535-5568
Mailing address
3921 PENSHURST LN APT 203, WOODBRIDGE, VA 22192-6350
(917) 776-6792
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402206498
VA
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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