John K. Tidwell DDS

NPI 1003906835 - Dentist - 1223S0112X

NPI Details
NPI 1003906835
Gender Male
Enumeration Date 10/13/2006
Last Updated 10/22/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1801 NW MARKET ST
SUITE 108
SEATTLE WA, 98107-3987, US
Phone (206) 783-9672
Fax (206) 784-4812
Business Location
1801 NW MARKET ST
SUITE 108
SEATTLE WA, 98107-3987, US
Phone (206) 783-9672
Fax (206) 784-4812
Toxanomy
Taxonomy Code 1223S0112X
License State Washington
License Number DE00006884
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According to our database, Dr. John K. Tidwell DDS NPI is 1003906835, taxonomy code is 1223S0112X and license number is DE00006884, license state is located at Washington. John K. Tidwell DDS physically located at 1801 Nw Market St, Seattle WA, 98107-3987. NPI Number John K. Tidwell DDS has the Individual type.

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1003906835 NPI number is provided on an as is basis without warranty of any kind. 1003906835 is maintained by the National Plan & Provider Enumeration System. The contents of John K. Tidwell DDS are for informational purposes only.