Dr. Paul Louis Slattery, DDS
Dentist, General Practice in San Antonio, TX. Individual provider (NPI-1).
NPI number1790788461
StatusActive
Last updated in NPPESJan 25, 2012
Details
- NPI
- 1790788461
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul Louis Slattery
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2005
- Last updated
- Jan 25, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 13692 | TX | Yes |
Practice location
8213 Roughrider DrSan Antonio, TX 78239-2430
Phone 210-654-1633 · Fax 210-654-4950
Mailing address
8213 Roughrider DrSan Antonio, TX 78239-2430
Phone 210-654-1633 · Fax 210-654-4950
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