| NPI | 1982593422 |
|---|---|
| Doing Business As | TIDE AND TIMBER PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MITCHELL EDMUND WESTBERG Owner / Provider 541-990-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-11-19 |