| NPI | 1992074611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY C SNYDER Owner 530-272-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 33993) |
| Enumeration Date | 2011-12-26 |
| Last Update Date | 2011-12-26 |