Organization
TIFFANY M PETERSON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY MELISSA DUDLEY DDS (PRESIDENT/DENTIST)
(305) 803-9142
Entity
Organization
Contact information
Practice address
3911 W ATLANTIC AVE, DELRAY BEACH, FL 33445-3902
(561) 498-0050
(561) 498-0841
Mailing address
925 EMERALD ROW, GULF STREAM, FL 33483-6107
(305) 803-9142
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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