MICHAEL TISDELLE

CHARLOTTESVILLE, VA
NPI1134208978
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: VA  0401007112)
Enumeration Date2006-11-03
Last Update Date2007-07-08
Business Address
DR. MICHAEL TISDELLE DDS
2216 IVY RD STE 205
CHARLOTTESVILLE, VA 22903-4966
Phone number: 434-977-4101
Mailing Address
DR. MICHAEL TISDELLE DDS
2216 IVY RD STE 205
CHARLOTTESVILLE, VA 22903-4966
Phone number: 434-977-4101
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