# SAN ANTONIO ENDODONTICS ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1841714672
- **Authorized official:** DAVID LEO CLOUTIER DMD (MANAGER MEMBER)
- **Authorized official phone:** (210) 341-8281

## Contact information

- **Practice address:** 1110 NW LOOP 410, SUITE 515, SAN ANTONIO, TX 78213
- **Practice address phone:** (210) 341-8281
- **Practice address fax:** (210) 341-8282
- **Mailing address:** 1100 NW LOOP 410 STE 515, SAN ANTONIO, TX 78213-2259
- **Mailing address phone:** (210) 341-8281
- **Mailing address fax:** (210) 341-8282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 26412 | TX | Yes |

## Other

- **Enumeration date:** 08/02/2017
- **Last updated:** 06/12/2019