Individual
TIFFANIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
888 MIDDLE RD, BETTENDORF, IA 52722-4101
(563) 362-3705
Mailing address
888 MIDDLE RD, BETTENDORF, IA 52722-4101
(563) 362-3705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
09211
IA
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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