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Organization
SHAPIRO FAMILY DENTISTRY OF FORT PIERCE PA
Active
Organization
SHAPIRO FAMILY DENTISTRY OF FORT PIERCE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARI SHAPIRO DDS (PRESIDENT)
(561) 254-2868
Entity
Organization
Contact information
Practice address
CORAL SQUARE SHOPPES 3006 US HIGHWAY 1, SUITE D2/D3, FORT PIERCE, FL 34982
(772) 242-0053
(772) 242-0081
Mailing address
2247 PALM BEACH LAKES BLVD STE 105, WEST PALM BEACH, FL 33409-3408
(561) 254-2868
(561) 328-6217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010511900
—
FL
Enumeration date
07/19/2018
Last updated
07/19/2018
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