Individual
RANDALL COREY SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1246 YELLOWSTON, SUITE B3, POCATELLO, ID 83201
(208) 237-0560
(208) 237-0563
Mailing address
242 S 7TH AVE, POCATELLO, ID 83201
(208) 234-9272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3171
ID
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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