John K Tidwell DDS Ps
John K Tidwell DDS Ps is an Oral and Maxillofacial Surgery (Dentist) in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2013.
- Licensed in
- WA
- In the registry since
- 2013
Practice location Address checks out
1801 NW Market St Ste 108Seattle, WA 98107-3987
Phone: (206) 783-9672
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Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence DE00006884 (WA) |
|---|
Record details
| NPI number | 1245668631 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elizabeth Barnes — Manager · (206) 783-9672 |
| Other names | Ballard Oral And Maxillofacial Surgery |
| NPI enumerated | October 22, 2013 |
| Last updated in NPPES | October 22, 2013 |
| Mailing address | 1801 Nw Market St, Suite 108, Seattle, WA 98107-3987 |
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