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1063520989
GARY WAYNE SHULTS
SAN ANTONIO, TX
NPI
1063520989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 15669)
Enumeration Date
2006-08-29
Last Update Date
2009-04-15
Business Address
Dr. GARY WAYNE SHULTS
1114 AUSTIN HWY
SAN ANTONIO, TX 78209-4844
Phone number: 210-824-4621
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Mailing Address
Dr. GARY WAYNE SHULTS
1114 AUSTIN HWY
SAN ANTONIO, TX 78209-4844
Phone number: 210-824-4621
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