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1992885404
ANTHONY C. TIDWELL
SALT LAKE CITY, UT
NPI
1992885404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 142661)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
DR. ANTHONY C. TIDWELL D.D.S.
4110 HIGHLAND DR SUITE #200
SALT LAKE CITY, UT 84124-2676
Phone number: 801-278-1164
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Mailing Address
DR. ANTHONY C. TIDWELL D.D.S.
4110 HIGHLAND DR SUITE #200
SALT LAKE CITY, UT 84124-2676
Phone number: 801-278-1164
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