MEDICARE: TIFFANY GIANG DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1851750327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY GIANG DDS

Provider Business Mailing Address
First Line	:	14255 AMHERST CT
Second Line	:
City	:	LOS ALTOS HILLS
State	:	CA
Zip	:	94022-1830
Country	:	US
Telephone Number	:	650-380-9167
Fax Number	:

Provider Business Practice Location Address
First Line	:	2656 W BROADWAY BLVD
Second Line	:	1206
City	:	TUCSON
State	:	AZ
Zip	:	85745-8425
Country	:	US
Telephone Number	:	650-380-9167
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2016
Last Update Date	:	02/12/2016

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Directions to “ TIFFANY GIANG DDS” Practice Location

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