Individual
DR. TIFFANY LEE MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3024 MOUNTAIN VIEW DR STE 107, ANCHORAGE, AK 99501-3141
(907) 312-5479
Mailing address
3024 MOUNTAIN VIEW DR STE 107, ANCHORAGE, AK 99501-3141
(907) 312-5479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415690
VA
1223G0001X
General Practice Dentistry
Primary
163709
AK
124Q00000X
Dental Hygienist
11759
TX
124Q00000X
Dental Hygienist
DH3737
NM
Other
Enumeration date
07/31/2012
Last updated
08/31/2020
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