Organization
SAN ANTONIO ENDODONTICS ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEO CLOUTIER DMD (MANAGER MEMBER)
(210) 341-8281
Entity
Organization
Contact information
Practice address
1110 NW LOOP 410, SUITE 515, SAN ANTONIO, TX 78213
(210) 341-8281
(210) 341-8282
Mailing address
1100 NW LOOP 410 STE 515, SAN ANTONIO, TX 78213-2259
(210) 341-8281
(210) 341-8282
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
26412
TX
Other
Enumeration date
08/02/2017
Last updated
06/12/2019
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