TODD A TIDWELL

SUMTER, SC
NPI1659494565
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: SC  3502)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
DR. TODD A TIDWELL
1121 BROAD STREET SUITE 46
SUMTER, SC 29150
Phone number: 803-436-5640
Mailing Address
DR. TODD A TIDWELL
2325 WILLOW OAK DRIVE
COLUMBIA, SC 29223
Phone number: