Individual
KIRK J SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1100 LOVELAND BLVD, PORT CHARLOTTE, FL 33980-1802
(941) 624-7285
Mailing address
1100 LOVELAND BLVD, PORT CHARLOTTE, FL 33980-1802
(941) 624-7285
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000150800
—
FL
Enumeration date
06/18/2008
Last updated
02/19/2013
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