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1619099454
JOEL KIRK TIDWELL
HARKER HEIGHTS, TX
NPI
1619099454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: TX 16401)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
DR. JOEL KIRK TIDWELL D.D.S.
581 PAN AMERICAN DR SUITE 4
HARKER HEIGHTS, TX 76548-1960
Phone number: 254-680-5551
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Mailing Address
DR. JOEL KIRK TIDWELL D.D.S.
581 PAN AMERICAN DR SUITE 4
HARKER HEIGHTS, TX 76548-1960
Phone number: 254-680-5551
Copy
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