TIFFANY ASHLEY LA

PHOENIX, AZ
NPI1568159119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-21
Last Update Date2023-04-21
Business Address
TIFFANY ASHLEY LA DDS
420 W WATKINS RD
PHOENIX, AZ 85003-2830
Phone number: 626-689-8536
Mailing Address
TIFFANY ASHLEY LA DDS
505 LA MIRADA AVE
SAN MARINO, CA 91108-1662
Phone number: 626-689-8536