Susan E Snyder Dds, Pc | |
750 Park East Blvd Suite 5 Lafayette IN 47905-0788 | |
(765) 447-7878 | |
(765) 449-0665 |
Full Name | Susan E Snyder Dds, Pc |
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Speciality | Dentist - General Practice |
Location | 750 Park East Blvd, Lafayette, Indiana |
Authorized Official Name and Position | Susan E Snyder (OWNER) |
Authorized Official Contact | 7654477878 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susan E Snyder Dds, Pc 750 Park East Blvd Suite 5 Lafayette IN 47905-0788 Ph: (765) 447-7878 | Susan E Snyder Dds, Pc 750 Park East Blvd Suite 5 Lafayette IN 47905-0788 Ph: (765) 447-7878 |
NPI Number | 1386009785 |
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Provider Enumeration Date | 12/30/2015 |
Last Update Date | 11/15/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386009785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12009083 (Indiana) | Primary |
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