Individual
DR. TIFFANY LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
7189 NAVAJO RD STE A, SAN DIEGO, CA 92119-1642
(619) 741-1500
Mailing address
3200 PASEO VILLAGE WAY, SAN DIEGO, CA 92130-3209
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS104630
CA
Other
Enumeration date
01/13/2022
Last updated
12/30/2022
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