Organization
TALLAHASSEE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYLAN TIDWELL (OFFICE MANAGER)
(850) 878-5131
Entity
Organization
Contact information
Practice address
1348 TIMBERLANE RD, TALLAHASSEE, FL 32312-1766
(850) 878-5131
Mailing address
1348 TIMBERLANE RD, TALLAHASSEE, FL 32312-1766
(850) 878-5131
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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