Tiffani A. Long DDS

NPI #1962825117 in Tillamook, Oregon

Provider Information

NPI Number: 1962825117
Entity Type: Organization
Organization Name: Tiffani A. Long DDS
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 23, 2014
Last Updated: Dec 19, 2016

Practice Location

Address: 1115 MAIN AVE
City: Tillamook
State: Oregon
ZIP Code: 97141-3819
Phone: (503) 842-7788

Authorized Official

Name: TIFFANI ANN LONG, DDS
Title: DENTIST
Phone: (503) 842-7788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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