Individual
DR. LUCAS L SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7008
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8758
AZ
1223E0200X
Endodontics
Primary
106930
CA
1223E0200X
Endodontics
D008758
AZ
Other
Enumeration date
06/25/2013
Last updated
09/05/2021
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