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Individual

DR. JONATHAN HARRY SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MDSC

Contact information

Practice address
2901 WILSHIRE BLVD STE 201, SANTA MONICA, CA 90403-4905
(310) 564-3636
Mailing address
1515 1ST ST, MANHATTAN BEACH, CA 90266-7001
(310) 702-3970

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
103987
CA
1223G0001X
General Practice Dentistry
103987
CA
390200000X
Student in an Organized Health Care Education/Training Program
13402
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2018
Last updated
07/19/2025
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