Individual
ALEXANDER DAVID SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(435) 862-0066
Mailing address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60462915
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037528
—
WA
Enumeration date
06/26/2014
Last updated
08/10/2021
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