Individual
MICHAEL ANTHONY SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2430 S 73RD ST STE 202, OMAHA, NE 68124-2397
(402) 651-3215
Mailing address
3414 N 128TH CIR, OMAHA, NE 68164-4236
(402) 651-3215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7483
NE
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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