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Individual

MIKE SNOWBARGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
361 GRANT AVE, JUNCTION CITY, KS 66441
(785) 238-4711
(785) 238-4260
Mailing address
361 GRANT AVE, JUNCTION CITY, KS 66441
(785) 238-4711
(785) 238-4260

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
KANSAS6461
KS
1223G0001X
General Practice Dentistry
6461
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100223880G
KS
Enumeration date
09/15/2006
Last updated
07/21/2022
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