Individual
DR. TIFFANY JULIANA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
309 NE 103RD ST STE 2B, SEATTLE, WA 98125-7100
(206) 452-2200
(206) 452-7700
Mailing address
10712 SE 2ND ST, BELLEVUE, WA 98004-5286
(202) 701-0916
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1858594
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2018
Last updated
07/08/2024
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