Provider Demographics
NPI:1669587788
Name:TROWBRIDGE, TATIYANA (DDS)
Entity type:Individual
Prefix:DR
First Name:TATIYANA
Middle Name:
Last Name:TROWBRIDGE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9377 E BELL RD STE 347
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1504
Mailing Address - Country:US
Mailing Address - Phone:480-563-0525
Mailing Address - Fax:480-563-0526
Practice Address - Street 1:9377 E BELL RD STE 385
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1505
Practice Address - Country:US
Practice Address - Phone:480-563-0525
Practice Address - Fax:480-563-0526
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ55141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice