Joel Kirk Tidwell D.D.S.

NPI 1619099454 - Dentist - 1223G0001X

NPI Details
NPI 1619099454
Gender Male
Enumeration Date 04/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
581 PAN AMERICAN DR
SUITE 4
HARKER HEIGHTS TX, 76548-1960, US
Phone (254) 680-5551
Fax (254) 680-3397
Business Location
581 PAN AMERICAN DR
SUITE 4
HARKER HEIGHTS TX, 76548-1960, US
Phone (254) 680-5551
Fax (254) 680-3397
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 16401
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According to our database, Dr. Joel Kirk Tidwell D.D.S. NPI is 1619099454, taxonomy code is 1223G0001X and license number is 16401, license state is located at Texas. Joel Kirk Tidwell D.D.S. physically located at 581 Pan American Dr, Harker Heights TX, 76548-1960. NPI Number Joel Kirk Tidwell D.D.S. has the Individual type.

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1619099454 NPI number is provided on an as is basis without warranty of any kind. 1619099454 is maintained by the National Plan & Provider Enumeration System. The contents of Joel Kirk Tidwell D.D.S. are for informational purposes only.