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Organization
SAN ANTONIO ENDODONTICS ASSOCIATES LLC
Active
Organization
SAN ANTONIO ENDODONTICS ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEO CLOUTIER DMD (MANAGER MEMBER)
(210) 341-8281
Entity
Organization
Contact information
Practice address
1110 NW LOOP 410, SUITE 515, SAN ANTONIO, TX 78213
(210) 341-8281
(210) 341-8282
Mailing address
1100 NW LOOP 410 STE 515, SAN ANTONIO, TX 78213-2259
(210) 341-8281
(210) 341-8282
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
26412
TX
Other
Enumeration date
08/02/2017
Last updated
06/12/2019
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