MEDICARE: HARRY DAVID SNYDMAN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	10340	MD

General Provider Information

NPI Number	:	1477705044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRY DAVID SNYDMAN DDS

Provider Business Mailing Address
First Line	:	9704B GROFFS MILL DR
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-6341
Country	:	US
Telephone Number	:	410-654-9696
Fax Number	:	410-654-9686

Provider Business Practice Location Address
First Line	:	9704B GROFFS MILL DR
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-6341
Country	:	US
Telephone Number	:	410-654-9696
Fax Number	:	410-654-9686

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2008
Last Update Date	:	10/15/2008

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