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
- City
- San Luis Obispo
- State
- California
- 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 Practice — General Practice |
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