STEVEN DAVID TIDWELL

SAN BERNARDINO, CA
NPI1801001987
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  29502)
Enumeration Date2007-05-11
Last Update Date2007-09-26
Business Address
Dr. STEVEN DAVID TIDWELL DDS
1918 BUSINESS CENTER DR SUITE 210
SAN BERNARDINO, CA 92408-3439
Phone number: 909-881-3336
Mailing Address
Dr. STEVEN DAVID TIDWELL DDS
7365 CARNELIAN ST SUITE 135
RANCHO CUCAMONGA, CA 91730-1158
Phone number: 909-944-7308