Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 9068 | KY |
N | 204E00000X | Oral & Maxillofacial Surgeon | 059018 | NY |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 117 | CA |
NPI | 1134412307 |
---|---|
Provider Name | Dr. Susan Katherine Snyder |
First Address | San Francisco, CA 94110-5912 |
Second Address | Palo Alto, CA 94304-1207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2011 |
Last Update Date | 15/01/2022 |