Individual
TIFFANY A GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1002 PARK AVE N, SUITE K, RENTON, WA 98057-5632
(425) 226-1990
(425) 228-6806
Mailing address
1002 PARK AVE N, SUITE K, RENTON, WA 98057-5632
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE6019224
WA
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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