Jamie Renee Tidwell, LDH

NPI #1477049989 in Cayuga, Indiana

Provider Information

NPI Number: 1477049989
Entity Type: Individual
Name: Jamie Renee Tidwell, LDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: LDH
Enumeration Date: Jul 9, 2018
Last Updated: Jul 9, 2018

Practice Location

Address: 703 W PARK ST
City: Cayuga
State: Indiana
ZIP Code: 47928-8207
Phone: (765) 492-8099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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