Individual
DR. SNEHA INNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97523-9332
(541) 471-4111
(541) 592-3916
Mailing address
1334 NE HARVEST HEIGHTS LN, GRANTS PASS, OR 97526-3647
(707) 864-9904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11417672-9921
UT
122300000X
Dentist
54789
CA
122300000X
Dentist
Primary
D11608
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11417672-9921
DDS LICENSE
UT
01
—
54789
DDS LICENSE
CA
01
—
D11608
DDS LICENSE
OR
Enumeration date
01/31/2007
Last updated
10/11/2022
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