Tidwell Smiles Pllc

NPI #1952906604 in Houston, Texas

Provider Information

NPI Number
1952906604
Entity Type
Organization
Organization Name
Tidwell Smiles Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 1, 2020
Last Updated
Jun 23, 2021

Practice Location

Address
9415 MESA DR STE B
State
Texas
ZIP Code
77028-1202
Phone
(832) 369-6775

Authorized Official

Name
MR. HARRY LUTHER
Title
CREDENTIALING COORDINATOR
Phone
(832) 369-6775

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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