Tiffany Gillum, DDS

NPI #1124363924 in Lufkin, Texas

Provider Information

NPI Number: 1124363924
Entity Type: Individual
Name: Tiffany Gillum, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 5, 2012
Last Updated: Aug 3, 2022

Practice Location

Address: 103 N BRENTWOOD STE 400
City: Lufkin
State: Texas
ZIP Code: 75904-7147
Phone: (936) 639-4867

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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