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1720288004
TIFFANY IRENE BASS
TACOMA, WA
NPI
1720288004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00011070)
Enumeration Date
2007-07-24
Last Update Date
2015-11-12
Business Address
-- TIFFANY IRENE BASS DDS
1708 E 44TH ST
TACOMA, WA 98404-4611
Phone number: 253-572-7002
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Mailing Address
-- TIFFANY IRENE BASS DDS
1019 PACIFIC AVE STE 300 ATTN: CREDENTIALING
TACOMA, WA 98402-4488
Phone number: 253-597-4550
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