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1730475229
SCHAVEZ LABANE TIDWELL
SILVER SPRING, MD
NPI
1730475229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MD 9209)
Enumeration Date
2011-06-22
Last Update Date
2011-06-22
Business Address
Dr. SCHAVEZ LABANE TIDWELL DDS
8609 2ND AVE SUITE 504B
SILVER SPRING, MD 20910-3360
Phone number: 301-565-5277
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Mailing Address
Dr. SCHAVEZ LABANE TIDWELL DDS
8609 2ND AVE SUITE 504B
SILVER SPRING, MD 20910-3360
Phone number: 301-565-5277
Copy
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