| Laurie E Shepherd DDS Inc | |
|
2087 Mountain Blvd # B Oakland CA 94611-2815 | |
| (510) 339-1045 | |
| (510) 339-4467 |
| Full Name | Laurie E Shepherd DDS Inc |
|---|---|
| Speciality | Dentist |
| Location | 2087 Mountain Blvd # B, Oakland, California |
| Authorized Official Name and Position | Laurie E Shepherd (OWNER) |
| Authorized Official Contact | 5103391045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie E Shepherd DDS Inc 2087 Mountain Blvd # B Oakland CA 94611-2815 Ph: (510) 339-1045 | Laurie E Shepherd DDS Inc 2087 Mountain Blvd # B Oakland CA 94611-2815 Ph: (510) 339-1045 |
| NPI Number | 1598544124 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598544124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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