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Organization
SHEPHERD DENTAL PC
Active
Organization
SHEPHERD DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JO ANN YBARRA SHEPHERD D.D.S. (OWNER)
(210) 820-0400
Entity
Organization
Contact information
Practice address
235 E HILDEBRAND AVE STE 100, SAN ANTONIO, TX 78212-2430
(210) 820-0400
(210) 820-0042
Mailing address
235 E HILDEBRAND AVE STE 100, SAN ANTONIO, TX 78212-2430
(210) 820-0400
(210) 820-0042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13395
TX
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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