Individual
TIFFANY DAWN SUMMERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
453 VAN VOORHIS RD, MORGANTOWN, WV 26505-3408
(304) 598-5108
(304) 598-5110
Mailing address
453 VAN VOORHIS RD, MORGANTOWN, WV 26505-3408
(304) 598-5108
(304) 598-5110
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2820
WV
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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