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Organization
SHEPHERD LANE DENTAL
Active
Organization
SHEPHERD LANE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOLLAND MORRISON DDS (PRESIDENT)
(972) 416-5755
Entity
Organization
Contact information
Practice address
312 S BECKLEY AVE, DALLAS, TX 75203-2614
(214) 941-4455
(214) 941-4464
Mailing address
1103 S JOSEY LN, STE 707, CARROLLTON, TX 75006-7680
(972) 416-5755
(972) 820-6089
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22654
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22654
TX
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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