Individual
TIA GLANDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, CMT, OMT
Contact information
Practice address
490 W PICKETT CREEK RD, GRANTS PASS, OR 97527-9668
(541) 660-5306
Mailing address
490 W PICKETT CREEK RD, GRANTS PASS, OR 97527-9668
(541) 660-5306
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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