Individual
TIFFANIE CAMDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8546 STONE MOUNTAIN CT, PEVELY, MO 63070-1343
(314) 600-8263
Mailing address
8546 STONE MOUNTAIN CT, PEVELY, MO 63070-1343
(314) 600-8263
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
020.013509
IL
124Q00000X
Dental Hygienist
Primary
2010040435
MO
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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