Organization · NPI-2

Dennis D Shepard MD INC

Ophthalmology · Santa Maria, CA

NPI number1841661394
StatusActive
Last updated in NPPESOct 9, 2015

Details

NPI
1841661394
Entity type
Organization (NPI-2)
Legal business name
Dennis D Shepard MD INC
Organization subpart
No
Enumeration date
Oct 9, 2015
Last updated
Oct 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X OphthalmologyA69671CAYes

Practice location

1418 E Main St Ste 130
Santa Maria, CA 93454-4836

Phone 805-614-7591 · Fax 805-614-7592

Mailing address

1418 E Main St Ste 130
Santa Maria, CA 93454-4836

Phone 805-614-7591 · Fax 805-614-7592

Authorized official

Franziska Shepard
Secretary
8056147591

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