SCHAVEZ LABANE TIDWELL

SILVER SPRING, MD
NPI1730475229
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MD  9209)
Enumeration Date2011-06-22
Last Update Date2011-06-22
Business Address
Dr. SCHAVEZ LABANE TIDWELL DDS
8609 2ND AVE SUITE 504B
SILVER SPRING, MD 20910-3360
Phone number: 301-565-5277
Mailing Address
Dr. SCHAVEZ LABANE TIDWELL DDS
8609 2ND AVE SUITE 504B
SILVER SPRING, MD 20910-3360
Phone number: 301-565-5277