Organization
SHEPHERD LANE DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY J BLANEK D.D.S. (PRESIDENT)
(972) 385-9331
Entity
Organization
Contact information
Practice address
6959 ARAPAHO RD, SUITE 551, DALLAS, TX 75248-4022
(972) 385-9331
(972) 385-0741
Mailing address
3501 SHEPHERD LN, BALCH SPRINGS, TX 75180-2325
(972) 286-5711
(972) 286-6106
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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