| Sierra Oral & Maxillofacial Surgery, Inc | |
|
1364 Whispering Pines Ln Suite A Grass Valley CA 95945-5975 | |
| (530) 272-3111 | |
| (530) 272-4111 |
| Full Name | Sierra Oral & Maxillofacial Surgery, Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1364 Whispering Pines Ln, Grass Valley, California |
| Authorized Official Name and Position | Timothy C Snyder (OWNER) |
| Authorized Official Contact | 5302723111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Oral & Maxillofacial Surgery, Inc 1364 Whispering Pines Ln Suite A Grass Valley CA 95945-5975 Ph: (530) 272-3111 | Sierra Oral & Maxillofacial Surgery, Inc 1364 Whispering Pines Ln Suite A Grass Valley CA 95945-5975 Ph: (530) 272-3111 |
| NPI Number | 1992074611 |
|---|---|
| Provider Enumeration Date | 12/26/2011 |
| Last Update Date | 12/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992074611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 33993 (California) | Primary |
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