BRIAN DALE TIDWELL

ALBANY, OR
NPI1447418215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D9084)
Enumeration Date2008-05-29
Last Update Date2008-05-29
Business Address
Dr. BRIAN DALE TIDWELL DDS
2825 WILLETTA ST SW STE A
ALBANY, OR 97321-3846
Phone number: 541-928-2301
Mailing Address
Dr. BRIAN DALE TIDWELL DDS
2825 WILLETTA ST SW STE A
ALBANY, OR 97321-3846
Phone number: 541-928-2301
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