DR. Otto Frederick Tidwell, D.D.S.

NPI #1407803398 in Rehoboth Beach, Delaware

Provider Information

NPI Number
1407803398
Entity Type
Individual
Name
DR. Otto Frederick Tidwell, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
D.D.S.
Enumeration Date
May 27, 2006
Last Updated
Jan 14, 2014

Practice Location

Address
19323 LIGHTHOUSE PLAZA BLVD
Address 2
UNIT 4
ZIP Code
19971-6162
Phone
(302) 226-1606

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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