Individual
DR. WILLIAM EDWARD SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
(937) 257-9632
Mailing address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
(937) 257-9632
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412971
VA
Other
Enumeration date
01/18/2011
Last updated
09/03/2019
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