| NPI | 1215160106 |
|---|---|
| Professional Name | TIFFANY MICHELLE LOUIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 56434) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |