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1386790848
JOEL RAY TIDWELL
DOUGLASVILLE, GA
NPI
1386790848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN009481)
Enumeration Date
2007-01-26
Last Update Date
2022-12-15
Business Address
Dr. JOEL RAY TIDWELL DDS
5897 STEWART PKWY
DOUGLASVILLE, GA 30135-2373
Phone number: 770-949-1821
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Mailing Address
Dr. JOEL RAY TIDWELL DDS
5897 STEWART PKWY
DOUGLASVILLE, GA 30135-2373
Phone number: 770-949-1821
Copy
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