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1114404878
TIFFANY GEORGE
FAIRBANKS, AK
NPI
1114404878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
125K00000X Advanced Practice Dental Therapist
(Licence: AK 18-149-DHAT)
Enumeration Date
2018-07-25
Last Update Date
2022-09-07
Business Address
TIFFANY GEORGE
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-452-8251
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Mailing Address
TIFFANY GEORGE
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-452-8251
Copy