Individual
DR. TYLER W SLAUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3237 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-6944
(573) 635-2571
Mailing address
905 FAIRMOUNT BLVD, JEFFERSON CITY, MO 65101-3544
(573) 353-2087
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2013012180
MO
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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