| John K Tidwell Dds Ps | |
|
1801 Nw Market St Suite 108 Seattle WA 98107-3987 | |
| (206) 783-9672 | |
| Not Available |
| Full Name | John K Tidwell Dds Ps |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1801 Nw Market St, Seattle, Washington |
| Authorized Official Name and Position | Elizabeth Barnes (MANAGER) |
| Authorized Official Contact | 2067839672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John K Tidwell Dds Ps 1801 Nw Market St Suite 108 Seattle WA 98107-3987 Ph: (206) 783-9672 | John K Tidwell Dds Ps 1801 Nw Market St Suite 108 Seattle WA 98107-3987 Ph: (206) 783-9672 |
| NPI Number | 1245668631 |
|---|---|
| Provider Enumeration Date | 10/22/2013 |
| Last Update Date | 10/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245668631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DE00006884 (Washington) | Primary |
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