Individual
DR. RYAN S SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7111 PROSPECT PL NE, SUITE D, ALBUQUERQUE, NM 87110-4309
(505) 268-4484
Mailing address
6123 PURPLE ASTER LN NE, ALBUQUERQUE, NM 87111-8082
(505) 544-1043
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2998
NM
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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