Vaughn G Tidwell, D.M.D.

NPI #1083600753 in Forest Grove, Oregon

Provider Information

NPI Number
1083600753
Entity Type
Individual
Name
Vaughn G Tidwell, D.M.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Sep 27, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
2236 PACIFIC AVE
State
Oregon
ZIP Code
97116-2448
Phone
(503) 359-5481

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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