Provider Demographics
NPI:1851669915
Name:GILBERT H. SNOW DDS INC
Entity Type:Organization
Organization Name:GILBERT H. SNOW DDS INC
Other - Org Name:SNOW ORTHODOINTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDI
Authorized Official - Middle Name:
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:AO
Authorized Official - Phone:661-273-1750
Mailing Address - Street 1:868 AUTO CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551
Mailing Address - Country:US
Mailing Address - Phone:661-273-1750
Mailing Address - Fax:661-273-9572
Practice Address - Street 1:868 AUTO CENTER DR STE C
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-4691
Practice Address - Country:US
Practice Address - Phone:661-273-1750
Practice Address - Fax:661-273-9572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-05
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19385261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental