VAUGHN G TIDWELL

FOREST GROVE, OR
NPI1083600753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  5848)
Enumeration Date2005-09-27
Last Update Date2007-07-08
Business Address
-- VAUGHN G TIDWELL D.M.D.
2236 PACIFIC AVE
FOREST GROVE, OR 97116-2448
Phone number: 503-359-5481
Mailing Address
-- VAUGHN G TIDWELL D.M.D.
2236 PACIFIC AVE
FOREST GROVE, OR 97116-2448
Phone number: 503-359-5481
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