Individual
TIFFANY LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 W CHARLESTON BLVD BLDG A, LAS VEGAS, NV 89102-2335
(702) 774-2415
Mailing address
19304 CONE ST, ROWLAND HEIGHTS, CA 91748-2347
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
106723
CA
1223P0221X
Pediatric Dentistry
Primary
S6-242
NV
Other
Enumeration date
07/29/2021
Last updated
08/22/2025
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