Individual
TIFFANY MOSQUEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 CRESCENT WAY, TUSTIN, CA 92782-1917
(949) 209-7383
Mailing address
3321 CRESCENT WAY, TUSTIN, CA 92782-1917
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
CA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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