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Organization

TIFFANY BASS, DDS, PLLC

Active
Parent organization
TIFFANY BASS, DDS, PLLC
Other names
DuPont Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
TIFFANY BASS, DDS, PLLC
Authorized official
TIFFANY BASS DDS (DENTIS)
(253) 912-4443
Entity
Organization

Contact information

Practice address
1100 STATION DR STE 221, DUPONT, WA 98327-9777
(253) 912-4443
(253) 912-4426
Mailing address
1100 STATION DR STE 221, DUPONT, WA 98327-9777
(253) 912-4443
(253) 912-4426

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/16/2022
Last updated
11/16/2022
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