Organization
SHEPARD FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON ROLAND SHEPARD DDS (DENTIST)
(763) 421-0770
Entity
Organization
Contact information
Practice address
3911 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2520
(763) 421-0770
(763) 421-0772
Mailing address
3911 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2520
(763) 421-0770
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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