Individual
SCOTT SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1636 NW 35TH CIR, CAMAS, WA 98607-7372
(360) 571-3139
Mailing address
1636 NW 35TH CIR, CAMAS, WA 98607-7372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008673
WA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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