Individual
DR. STEPHEN ROBERT SHEPHERD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12569 NEWPORT AVE, TUSTIN, CA 92780-2420
(714) 544-2220
(714) 544-2701
Mailing address
12569 NEWPORT AVE, TUSTIN, CA 92780-2420
(714) 544-2220
(714) 544-2701
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
31706
CA
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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