Individual
TIFFANY LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(800) 813-2000
Mailing address
18111 NE 46TH AVE, VANCOUVER, WA 98686-3046
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
60994034
WA
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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