Organization
TIFFANI A, LONG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANI A LONG I MS DDS (DENTIST)
(479) 267-5009
Entity
Organization
Contact information
Practice address
181 W MAIN ST, FARMINGTON, AR 72730-2945
(479) 267-5009
(479) 267-5029
Mailing address
181 W MAIN ST, FARMINGTON, AR 72730-2945
(479) 267-5009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3650
AR
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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