Individual
DR. LORI NIXON SNIDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3150
Mailing address
100 S BLISS AVENUE, TAHLEQUAH, OK 74464
(918) 458-3150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410319
VA
Other
Enumeration date
11/20/2006
Last updated
01/12/2011
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