Slade Dmd Corporation

NPI #1750506036 in San Luis Obispo, California

Provider Information

NPI Number
1750506036
Entity Type
Organization
Organization Name
Slade Dmd Corporation
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 13, 2007
Last Updated
Aug 4, 2014

Practice Location

Address
862 MEINECKE AVENUE
Address 2
SUITE 200
ZIP Code
93405
Phone
(805) 544-7804

Authorized Official

Name
MR. TROY KENDALL SLADE, D.M.D.
Title
DENTIST/OWNER
Phone
(805) 544-7804

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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