Shepherd Lane Dental Associates #2

NPI #1114215985 in Garland, Texas

Provider Information

NPI Number: 1114215985
Entity Type: Organization
Organization Name: Shepherd Lane Dental Associates #2
Primary Specialty: Dentist
Enumeration Date: Jul 14, 2011
Last Updated: Jul 14, 2011

Practice Location

Address: 107 S 1ST ST
City: Garland
State: Texas
ZIP Code: 75040-7219
Phone: (972) 512-0285

Authorized Official

Name: MR. HOLLAND MORRISON, DDS
Title: PRESIDENT
Phone: (972) 512-0285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist	122300000X	Primary

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