MARK WILSON SHEPPARD

LEWISTON, ID
NPI1922173582
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-3137)
Enumeration Date2006-11-21
Last Update Date2007-07-08
Business Address
Dr. MARK WILSON SHEPPARD D.D.S.
77 SOUTHWAY AVE STE A
LEWISTON, ID 83501-2203
Phone number: 208-743-2792
Mailing Address
Dr. MARK WILSON SHEPPARD D.D.S.
77 SOUTHWAY AVE STE A
LEWISTON, ID 83501-2203
Phone number: 208-743-2792
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