| NPI | 1912914219 |
|---|---|
| Former Name | TIFFINIE A. ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 8848) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN17621) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-05-21 |