Individual
DR. TERRY W. SLAUGHTER W SLAUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
901 SUNSET DR, STE 5, HOLLISTER, CA 95023-5613
(831) 636-8484
(831) 636-8244
Mailing address
901 SUNSET DR, STE 5, HOLLISTER, CA 95023-5613
(831) 636-8484
(831) 636-8244
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16053
DENTAL LICENSE
CA
01
—
DS160531
MEDICARE
CA
Enumeration date
07/23/2007
Last updated
07/23/2007
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