Individual
DR. SEAN RICHARD SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
7206 STATE PARK, CENTER LINE, MI 48015-1028
(586) 863-2090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600487
MI
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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