Corvallis Family Dentistry, LLC
NPI #1730459892 in Corvallis, Oregon
Provider Information
- NPI Number
- 1730459892
- Entity Type
- Organization
- Organization Name
- Corvallis Family Dentistry, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 6, 2012
- Last Updated
- Jan 6, 2012
Practice Location
Authorized Official
- Name
- BRIAN D TIDWELL, D.D.S
- Title
- DENTIST
- Phone
- (541) 929-5227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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