Individual
DR. JONATHAN SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1067 TWINING DR, BARKSDALE AFB, LA 71110-2486
(318) 456-6718
Mailing address
1067 TWINING DR, BARKSDALE AFB, LA 71110-2486
(318) 456-6718
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02573300
NJ
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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