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Organization
SHEPHERD LANE DENTAL ASSOCIATES,P.C
Active
Organization
SHEPHERD LANE DENTAL ASSOCIATES,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY J. BLANEK D.D.S. (OWNER)
(972) 279-0900
Entity
Organization
Contact information
Practice address
3434 TOWNE CROSSING BLVD., SUITE 106, MESQUITE, TX 75150-2724
(972) 279-0900
(972) 286-6106
Mailing address
3434 TOWNE CROSSING BLVD., SUITE 106, MESQUITE, TX 75150-2724
(972) 286-5711
(972) 286-6106
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091321202
—
TX
Enumeration date
03/05/2007
Last updated
07/18/2015
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