Organization
SHEPARD DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIANE SHEPARD DDS (OWNER)
(760) 453-5702
Entity
Organization
Contact information
Practice address
630 NORDAHL RD STE D, SAN MARCOS, CA 92069-3541
(760) 453-5702
Mailing address
630 NORDAHL RD STE D, SAN MARCOS, CA 92069-3541
(760) 453-5702
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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