Brandon Alden Snow, DMD
Dentist in Ontario, OR. Individual provider (NPI-1).
NPI number1184074635
StatusActive
Last updated in NPPESJun 15, 2016
Details
- NPI
- 1184074635
- Entity type
- Individual (NPI-1)
- Name
- Brandon Alden Snow
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2016
- Last updated
- Jun 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D10451 | OR | Yes |
Practice location
2327 Sw 4th AveOntario, OR 97914-1851
Phone 541-889-2340 · Fax 541-889-2593
Mailing address
2327 Sw 4th AveOntario, OR 97914-1851
Phone 541-889-2340 · Fax 541-889-2593
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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