# ANGELO ENDODONTICS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** W Randy Snyder DDS MS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144331299
- **Authorized official:** DR. W RANDY SNYDER DDS MS (OWNER PRESIDENT)
- **Authorized official phone:** (325) 947-3636

## Contact information

- **Practice address:** 3131 GREEN MEADOW DRIVE, SAN ANGELO, TX 76904
- **Practice address phone:** (325) 947-3636
- **Practice address fax:** (325) 942-7594
- **Mailing address:** 3131 GREEN MEADOW DRIVE, SAN ANGELO, TX 76904
- **Mailing address phone:** (325) 947-3636
- **Mailing address fax:** (325) 942-7594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 17165 | TX | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020
