Tiffany Alexander

NPI #1073017158 in Ft Polk, Louisiana

Provider Information

NPI Number: 1073017158
Entity Type: Individual
Name: Tiffany Alexander
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Mar 22, 2018
Last Updated: Mar 22, 2018

Practice Location

Address: 1561 MISSISSIPPI AVE
City: Ft Polk
State: Louisiana
ZIP Code: 71459
Phone: (337) 531-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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