Individual
TIFFANIE ANN MARIE WALDECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
823 MAIN ST, HOPE VALLEY, RI 02832-1920
(401) 539-2461
Mailing address
823 MAIN ST, HOPE VALLEY, RI 02832-1920
(401) 539-2461
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03126
RI
Other
Enumeration date
06/25/2010
Last updated
07/15/2011
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