| NPI | 1447422290 |
|---|---|
| Doing Business As | TIDWELL DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | TRONG DUC NGUYEN Dentist 713-691-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17939) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 23050) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2014-04-23 |