Individual
MS. TIFFANY NICHOLE GEORGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
2934 W INA RD, TUCSON, AZ 85741-2110
(520) 742-9500
Mailing address
2600 W INA RD, #185, TUCSON, AZ 85741-2595
(520) 869-0562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
H5483
AZ
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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