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Organization

SHEPHERD LANE DENTAL ASSOCIATES #2

Active
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Organization

SHEPHERD LANE DENTAL ASSOCIATES #2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HOLLAND MORRISON DDS (PRESIDENT)
(972) 512-0285
Entity
Organization

Contact information

Practice address
107 S 1ST ST, GARLAND, TX 75040-7219
(972) 512-0285
(972) 239-0755
Mailing address
107 S 1ST ST, GARLAND, TX 75040-7219
(972) 512-0285
(972) 239-0755

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22654
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22654
TX

Other

Enumeration date
07/14/2011
Last updated
07/14/2011
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