Organization
TIFFANI A. LONG DDS
Active
Other names
Farmington Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANI ANN LONG DDS (DENTIST)
(503) 842-7788
Entity
Organization
Contact information
Practice address
1115 MAIN AVE, TILLAMOOK, OR 97141-3819
(503) 842-7788
Mailing address
1115 MAIN AVE, TILLAMOOK, OR 97141-3819
(503) 842-7788
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D10033
OR
Other
Enumeration date
01/23/2014
Last updated
12/19/2016
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