| 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 |