Organization
GRANT SNIDER DDS, LLC
Active
Other names
Derby Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT SNIDER DDS (ORTHODONTIST)
(316) 260-6566
Entity
Organization
Contact information
Practice address
2701 NORTH ROCK ROAD, SUITE 600, DERBY, KS 67037
(316) 260-6566
Mailing address
2701 NORTH ROCK ROAD, SUITE 600, DERBY, KS 67037
(316) 260-6566
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60925
KS
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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