Organization
TERRY W SLAUGHTER DDS MSD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA LEE SANTOS (OFFICE MANAGER)
(831) 636-8484
Entity
Organization
Contact information
Practice address
901 SUNSET DR, STE 5, HOLLISTER, CA 95023-5613
(831) 636-8484
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 # DENTAL B
CA
Enumeration date
07/30/2006
Last updated
03/07/2023
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