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Individual

MARK HAROLD SNOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2344 N MERRITT CREEK LOOP, COEUR D ALENE, ID 83814-4950
(208) 676-8500
Mailing address
140 E MAIN ST, OTHELLO, WA 99344-0546
(509) 488-5256

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7078744-9922
UT
1223G0001X
General Practice Dentistry
7620
AZ
1223G0001X
General Practice Dentistry
Primary
D4194
ID
1223G0001X
General Practice Dentistry
DE60035255
WA

Other

Enumeration date
09/30/2008
Last updated
04/08/2020
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