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Organization
TIDWELL SMILES PLLC
Active
Organization
TIDWELL SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY LUTHER (CREDENTIALING COORDINATOR)
(832) 369-6775
Entity
Organization
Contact information
Practice address
9415 MESA DR STE B, HOUSTON, TX 77028-1202
(832) 369-6775
(682) 222-1093
Mailing address
3838 N SAM HOUSTON PKWY E STE 430, HOUSTON, TX 77032-3418
(832) 369-6775
(682) 222-1093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
06/23/2021
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