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Organization
SHEPHERD LANE DENTAL ASSOCIATES
Active
Organization
SHEPHERD LANE DENTAL ASSOCIATES
Active
Other names
Towngate Dental
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY BLANEK (D.D.S./PRESIDENT)
(972) 512-0285
Entity
Organization
Contact information
Practice address
2121 NORTHWEST HIGHWAY, SUITE 112, GARLAND, TX 75041-4851
(469) 331-9460
(469) 331-9461
Mailing address
15110 N. DALLAS PARKWAY, SUITE 470, DALLAS, TX 75248-4635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/28/2009
Last updated
03/04/2015
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