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1083888580
TRAVIS TRENT SHEPHERD
KIMBERLY, ID
NPI
1083888580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM 3277)
Enumeration Date
2008-04-15
Last Update Date
2022-01-28
Business Address
Dr. TRAVIS TRENT SHEPHERD DMD
901 CENTER STREET WEST STE. A
KIMBERLY, ID 83341
Phone number: 208-423-5001
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Mailing Address
Dr. TRAVIS TRENT SHEPHERD DMD
610 GARNET DR
KIMBERLY, ID 83341-1942
Phone number: 505-787-0082
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