DR. John K. Tidwell, DDS
NPI #1003906835 in Seattle, Washington
Provider Information
- NPI Number
- 1003906835
- Entity Type
- Individual
- Name
- DR. John K. Tidwell, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DDS
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Oct 22, 2013
Practice Location
- Address
- 1801 NW MARKET ST
- Address 2
- SUITE 108
- City
- Seattle
- State
- Washington
- ZIP Code
- 98107-3987
- Phone
- (206) 783-9672
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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