Individual
TIFFANY JOHNNICANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
135 WYNDLAM CT, DULUTH, GA 30097-8408
(678) 495-7548
Mailing address
135 WYNDLAM CT, DULUTH, GA 30097-8408
(678) 495-7548
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH012309
GA
124Q00000X
Dental Hygienist
Primary
—
GA
Other
Enumeration date
04/26/2025
Last updated
04/26/2025
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