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Organization
LAURIE E SHEPHERD DDS INC
Active
Organization
LAURIE E SHEPHERD DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE E SHEPHERD DDS (OWNER)
(510) 339-1045
Entity
Organization
Contact information
Practice address
2087 MOUNTAIN BLVD # B, OAKLAND, CA 94611-2815
(510) 339-1045
(510) 339-4467
Mailing address
2087 MOUNTAIN BLVD # B, OAKLAND, CA 94611-2815
(510) 339-1045
(510) 339-1045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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