GREGG CARRINGTON TIDWELL

MONROE, LA
NPI1639223043
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  3793)
Enumeration Date2007-01-23
Last Update Date2007-07-09
Business Address
Dr. GREGG CARRINGTON TIDWELL D.D.S.
1512 ROYAL AVE
MONROE, LA 71201-5610
Phone number: 318-387-5400
Mailing Address
Dr. GREGG CARRINGTON TIDWELL D.D.S.
1512 ROYAL AVE
MONROE, LA 71201-5610
Phone number: 318-387-5400
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