Individual
DR. GREGORY BRIAN SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3618 W ANTHEM WAY STE D104, ANTHEM, AZ 85086-0458
(623) 551-3391
(623) 551-8959
Mailing address
3618 W ANTHEM WAY STE D104, ANTHEM, AZ 85086-0458
(623) 551-3391
(623) 551-8959
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D7220
AZ
Other
Enumeration date
08/14/2007
Last updated
09/08/2008
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