Individual
TIFFANY TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
955 PARK AVE N STE D, RENTON, WA 98057-5680
(425) 793-6003
Mailing address
15755 NE 100TH WAY, REDMOND, WA 98052-1002
(954) 496-1056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60851040
WA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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