| NPI | 1205208568 |
|---|---|
| Former Legal Business Name | MIKE L SNOWBARGER, DDS, PA |
| Entity Type | Organization |
| Authorized Contact | SCOTT GUEST Agent 913-645-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 61268) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |