Organization
GILBERT SNOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDI RIDDLE (CEO)
(661) 273-1750
Entity
Organization
Contact information
Practice address
868 AUTO CENTER DR, SUITE C, PALMDALE, CA 93551-3780
(661) 273-1750
(661) 273-9572
Mailing address
868 AUTO CENTER DR, SUITE C, PALMDALE, CA 93551-3780
(661) 273-1750
(661) 273-9572
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D21067
CA
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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