DENNIS D SHEPARD MD INC
Ambulatory Health at Main St, Santa Maria, CA

License number
California 050000322
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DENNIS SHEPARD MD
Title: PRESIDENT
Phone: (805) 614-7005
Address
Address
1418 E Main St STE 110, Santa Maria, CA 93454
National Provider ID: 1982662771
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DENNIS D. SHEPARD, M.D., INCORPORATED

Santa Maria, CA

Doing business as:
Dennis D Shepard MD Inc
Registration:
May 16, 1972
Phone:
(805) 614-7591 (Phone)
Addresses:
210 S Palisade Dr STE 103, Santa Maria, CA 93454 (Physical)
1414 E Main St, Santa Maria, CA 93454
401 S Palisade Dr, Santa Maria, CA 93454
State ID:
C0651566
Business type:
Articles of Incorporation
President:
Dennis D. Shepard (President)
Agent:
Dennis D Shepard,Santa Maria, CA 93454 (Physical)
Categories:
Ophthalmology Physicians & Surgeons

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