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1659494565
TODD A TIDWELL
SUMTER, SC
NPI
1659494565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: SC 3502)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
DR. TODD A TIDWELL
1121 BROAD STREET SUITE 46
SUMTER, SC 29150
Phone number: 803-436-5640
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Mailing Address
DR. TODD A TIDWELL
2325 WILLOW OAK DRIVE
COLUMBIA, SC 29223
Phone number:
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