Individual
DR. JERALD MARK SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
105 LAKESIDE PARK OFC PARK, SOUTHAMPTON, PA 18966-4048
(215) 357-0110
Mailing address
105 LAKESIDE PARK OFC PARK, SOUTHAMPTON, PA 18966-4048
(215) 357-0110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 017457L
PA
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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