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Organization
SHEPHERD LANE DENTAL ASSOCIATES,PC
Active
Organization
SHEPHERD LANE DENTAL ASSOCIATES,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMIE WALKER (MANAGER)
(972) 416-5755
Entity
Organization
Contact information
Practice address
1103 S JOSEY LN STE 707, CARROLLTON, TX 75006-7389
(972) 416-5755
(972) 416-9812
Mailing address
1103 S JOSEY LN STE 707, CARROLLTON, TX 75006-7389
(972) 416-5755
(972) 416-9812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7005
TX
Other
Enumeration date
03/16/2007
Last updated
04/20/2008
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