DR. Brian Dale Tidwell, DDS

NPI #1447418215 in Albany, Oregon

Provider Information

NPI Number
1447418215
Entity Type
Individual
Name
DR. Brian Dale Tidwell, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 29, 2008
Last Updated
May 29, 2008

Practice Location

Address
2825 WILLETTA ST SW STE A
City
Albany
State
Oregon
ZIP Code
97321-3846
Phone
(541) 928-2301

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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