Organization
SNOW ORTHODONTICS DENTAL GROUP PROFESSIONAL CORPORATION
Active
Other names
SNOW ORTHODONTICS DENTAL GROUP,PC
Organization subpart
No
Provider details
NPI number
Authorized official
LEO PINEDA (INSURANCE COORDINATOR)
(661) 450-0116
Entity
Organization
Contact information
Practice address
868 AUTO CENTER DR STE C, PALMDALE, CA 93551-4691
(661) 450-0116
Mailing address
868 AUTO CENTER DR STE C, PALMDALE, CA 93551-4691
(661) 450-0116
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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