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TIDES CENTER

TIDES CENTER

Healthcare Organization

fax
415-383-6671
npi
1457496655
phone
415-383-6623
status
A
address
655 REDWOOD HWY, 200, MILL VALLEY, CA, 949413034
taxonomy
Specialist
last updated
2022-07-21
license state
CA
taxonomy code
174400000X
enumeration date
2007-02-21
enumeration type
NPI-2
practice locations
0
authorized official
MILTON ESTES
organizational subpart
NO
npiregistry.cms.hhs.gov ↗

Recorded 2026-10-10

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