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Individual
DR. KHALILAH N SHEPHARD
Active
Individual
DR. KHALILAH N SHEPHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
737261
UNITED CONCORDIA
—
Enumeration date
04/27/2007
Last updated
09/01/2022
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