Individual
TIFFANY LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Mailing address
317 SUMMIT AVE APT 1, BRIGHTON, MA 02135-7514
(617) 935-4753
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL12613
MA
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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