Individual
TIFFANY F BIRRENKOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
880 14TH ST, BARABOO, WI 53913-1540
(608) 356-6611
Mailing address
880 14TH ST, P.O. BIX 558, BARABOO, WI 53913-1540
(608) 356-6611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5023
WI
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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