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1003906835
JOHN K. TIDWELL
SEATTLE, WA
NPI
1003906835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WA DE00006884)
Enumeration Date
2006-10-13
Last Update Date
2013-10-22
Business Address
Dr. JOHN K. TIDWELL DDS
1801 NW MARKET ST SUITE 108
SEATTLE, WA 98107-3987
Phone number: 206-783-9672
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Mailing Address
Dr. JOHN K. TIDWELL DDS
1801 NW MARKET ST SUITE 108
SEATTLE, WA 98107-3987
Phone number: 206-783-9672
Copy
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