Individual
DR. JOHN ROBERT TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 E LAUREL RD, STRATFORD, NJ 08084-1324
(856) 783-6100
Mailing address
105 E LAUREL ROAD, STRATFORD, NJ 08084
(856) 783-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI02367400
NJ
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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