VAUGHN TIDWELL, D.M.D.
Dentist - General Practice
Active
Individual
NPI: 1083600753
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 5848 (OR) |
Frequently Asked Questions
NPI 1083600753 is the National Provider Identifier for VAUGHN TIDWELL, D.M.D., a Dentist - General Practice provider located in Forest Grove, OR. This NPI was enumerated on September 27, 2005.
VAUGHN TIDWELL, D.M.D. practices at 2236 PACIFIC AVE, Forest Grove, OR 97116.
Quick Facts
- NPI
- 1083600753
- Type
- Individual
- Enumerated
- Sep 27, 2005
- Last Updated
- Jul 8, 2007
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