Tiffany Gota

NPI 1174065221 · on the registry since 2016 · sole proprietor

Practice

Address: 3712 9th St Sw
Puyallup, WA 98373
Phone: (253) 227-4899
Fax: (206) 350-2612
Organisation at this address: Sung Lee Dmd Ps
Nutrition Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 174H00000X
174H00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-11-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington