NPI | 1649660051 |
---|---|
Doing Business As | TIDWELL FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | ABTIN RAHIMIAN Owner 949-309-1042 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 28590) |
Enumeration Date | 2015-01-23 |
Last Update Date | 2015-01-23 |