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Individual
DR. LARRY D SHAPIRO
Active
Individual
DR. LARRY D SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
019020998
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019020998
DENTAL LICENSE NUMBER
IL
05
—
9179256
—
IL
Enumeration date
10/12/2005
Last updated
02/12/2013
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