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1700875077
CLAYTON ROLAND SHEPARD
COON RAPIDS, MN
NPI
1700875077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 10035MN)
Enumeration Date
2005-10-19
Last Update Date
2023-03-07
Business Address
Dr. CLAYTON ROLAND SHEPARD D.D.S.
3911 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433-2520
Phone number: 763-421-0770
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Mailing Address
Dr. CLAYTON ROLAND SHEPARD D.D.S.
3911 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433-2520
Phone number: 763-421-0770
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