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Individual

DR. JEFFREY BRAM SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
189 GOVERNOR ST, PROVIDENCE, RI 02906
(401) 421-6464
(401) 272-3884
Mailing address
189 GOVERNOR ST, PROVIDENCE, RI 02906
(401) 421-6464
(401) 272-3884

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1484
RI

Other

Enumeration date
09/01/2006
Last updated
12/13/2011
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