Organization
SIERRA ORAL & MAXILLOFACIAL SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY C SNYDER DDS, MD (OWNER)
(530) 272-3111
Entity
Organization
Contact information
Practice address
1364 WHISPERING PINES LN, SUITE A, GRASS VALLEY, CA 95945-5975
(530) 272-3111
(530) 272-4111
Mailing address
1364 WHISPERING PINES LN, SUITE A, GRASS VALLEY, CA 95945-5975
(530) 272-3111
(530) 272-4111
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
33993
CA
Other
Enumeration date
12/26/2011
Last updated
12/26/2011
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