| Shepard Dental Corporation | |
|
630 Nordahl Rd Ste D San Marcos CA 92069-3541 | |
| (760) 453-5702 | |
| Not Available |
| Full Name | Shepard Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 630 Nordahl Rd Ste D, San Marcos, California |
| Authorized Official Name and Position | Liliane Shepard (OWNER) |
| Authorized Official Contact | 7604535702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepard Dental Corporation 630 Nordahl Rd Ste D San Marcos CA 92069-3541 Ph: (760) 453-5702 | Shepard Dental Corporation 630 Nordahl Rd Ste D San Marcos CA 92069-3541 Ph: (760) 453-5702 |
| NPI Number | 1740089580 |
|---|---|
| Provider Enumeration Date | 03/12/2025 |
| Last Update Date | 03/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740089580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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