Individual
MISS TIFFANY BROOKE MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5642 S 900 E, MURRAY, UT 84121-1060
(801) 261-2202
Mailing address
5528 S 4225 W, ROY, UT 84067-8122
(801) 645-3831
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7369176-9920
UT
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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