Individual
SAMANTHA SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
70 MAIN ST, DANBURY, CT 06810-7832
(203) 739-6612
Mailing address
70 MAIN ST, DANBURY, CT 06810-7832
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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