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Organization

G SHAPIRO DDS INC

Active
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Organization

G SHAPIRO DDS INC

Active
Other names
Shapiro Cosmetic Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
GENNADY SHAPIRO DDS (PRESIDENT)
(818) 242-2990
Entity
Organization

Contact information

Practice address
330 N CENTRAL AVENUE, GLENDALE, CA 91203
(818) 242-2990
(818) 242-3763
Mailing address
330 N CENTRAL AVENUE, GLENDALE, CA 91203
(818) 242-2990
(818) 242-3763

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39335
CA

Other

Enumeration date
10/03/2006
Last updated
12/18/2013
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