Individual
JOHN BRADLEY SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7260 S RAINBOW BLVD, LAS VEGAS, NV 89118-4669
(702) 896-7211
Mailing address
371 TURTLE PEAK AVE, LAS VEGAS, NV 89148-2753
(714) 642-5370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6789
NV
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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