Tiffany Goldwyn Dmd PC

NPI #1316540826 in Portland, Oregon

Provider Information

NPI Number: 1316540826
Entity Type: Organization
Organization Name: Tiffany Goldwyn Dmd PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 18, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 1616 SW SUNSET BLVD STE B
City: Portland
State: Oregon
ZIP Code: 97239-2641
Phone: (503) 244-8112

Authorized Official

Name: DR. TIFFANY GOLDWYN, DMD
Title: PRESIDENT
Phone: (503) 244-8112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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