DR. LARRY TIDWELL, DMD

Dentist

Active Individual
NPI: 1902905730

Practice Address

102 NORTH RIVER STREET
Newberg, OR 97132

Phone: (503) 538-2888

Specialties

Specialty Code Primary License
Dentist 122300000X Yes D5668 (OR)

Frequently Asked Questions

NPI 1902905730 is the National Provider Identifier for DR. LARRY TIDWELL, DMD, a Dentist provider located in Newberg, OR. This NPI was enumerated on September 21, 2006.
DR. LARRY TIDWELL, DMD practices at 102 NORTH RIVER STREET, Newberg, OR 97132.

Quick Facts

NPI
1902905730
Type
Individual
Enumerated
Sep 21, 2006
Last Updated
Jul 8, 2007

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