Michael Tidwell, DMD
NPI #1518954924 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1518954924
- Entity Type
- Individual
- Name
- Michael Tidwell, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Sep 30, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 350 N CLYDE MORRIS BLVD
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32114-2733
- Phone
- (386) 238-3280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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