Provider Demographics
NPI:1053720995
Name:YEE, TIFFANY LEHUANANI (DMD)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:LEHUANANI
Last Name:YEE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 NE TENNEY RD
Mailing Address - Street 2:B201
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2831
Mailing Address - Country:US
Mailing Address - Phone:360-219-9685
Mailing Address - Fax:
Practice Address - Street 1:800 NE TENNEY RD
Practice Address - Street 2:B201
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2831
Practice Address - Country:US
Practice Address - Phone:360-219-9685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD100911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice