| Shepherd Lane Dental Associates 2, P.c | |
|
532 W Randol Mill Rd Arlington TX 76011 | |
| (972) 512-0285 | |
| (972) 239-0755 |
| Full Name | Shepherd Lane Dental Associates 2, P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 532 W Randol Mill Rd, Arlington, 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, P.c 532 W Randol Mill Rd Arlington TX 76011 Ph: (972) 512-0285 | Shepherd Lane Dental Associates 2, P.c 532 W Randol Mill Rd Arlington TX 76011 Ph: (972) 512-0285 |
| NPI Number | 1912281247 |
|---|---|
| Provider Enumeration Date | 10/05/2011 |
| Last Update Date | 10/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912281247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22654 (Texas) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22654 (Texas) | Secondary |
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