| Shepherd Lane Dental Associates #2 | |
|
107 S 1st St Garland TX 75040-7219 | |
| (972) 512-0285 | |
| (972) 239-0755 |
| Full Name | Shepherd Lane Dental Associates #2 |
|---|---|
| Speciality | Dentist |
| Location | 107 S 1st St, Garland, Texas |
| Authorized Official Name and Position | Holland Morrison (PRESIDENT) |
| Authorized Official Contact | 9725120285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherd Lane Dental Associates #2 107 S 1st St Garland TX 75040-7219 Ph: (972) 512-0285 | Shepherd Lane Dental Associates #2 107 S 1st St Garland TX 75040-7219 Ph: (972) 512-0285 |
| NPI Number | 1114215985 |
|---|---|
| Provider Enumeration Date | 07/14/2011 |
| Last Update Date | 07/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114215985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22654 (Texas) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22654 (Texas) | Secondary |
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