| Albert L. Ouellette, Dds, Pllc | |
|
1202 E Sonterra Blvd Ste 801 San Antonio TX 78258-4095 | |
| (210) 494-2005 | |
| (210) 494-1332 |
| Full Name | Albert L. Ouellette, Dds, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1202 E Sonterra Blvd Ste 801, San Antonio, Texas |
| Authorized Official Name and Position | Albert Lee Ouellette (OWNER) |
| Authorized Official Contact | 2104942005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert L. Ouellette, Dds, Pllc 1202 E Sonterra Blvd Ste 801 San Antonio TX 78258-4095 Ph: (210) 494-2005 | Albert L. Ouellette, Dds, Pllc 1202 E Sonterra Blvd Ste 801 San Antonio TX 78258-4095 Ph: (210) 494-2005 |
| NPI Number | 1023596061 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 08/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023596061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 29686 (Texas) | Primary |
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