# ALBERT L. OUELLETTE, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023596061
- **Authorized official:** ALBERT LEE OUELLETTE DDS (OWNER)
- **Authorized official phone:** (210) 494-2005

## Contact information

- **Practice address:** 1202 E SONTERRA BLVD STE 801, SAN ANTONIO, TX 78258-4095
- **Practice address phone:** (210) 494-2005
- **Practice address fax:** (210) 494-1332
- **Mailing address:** 1202 E SONTERRA BLVD STE 801, SAN ANTONIO, TX 78258-4095
- **Mailing address phone:** (210) 494-2005
- **Mailing address fax:** (210) 494-1332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 29686 | TX | Yes |

## Other

- **Enumeration date:** 08/01/2018
- **Last updated:** 08/01/2018