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Individual

DR. JORDEE BLAKE SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
6801 RIDGE AVE, PHILADELPHIA, PA 19128-2446
(215) 483-6633
Mailing address
220 UNION MILL RD, MOUNT LAUREL, NJ 08054-9532

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02464700
NJ
1223G0001X
General Practice Dentistry
Primary
DS038205
PA

Other

Enumeration date
06/17/2010
Last updated
12/11/2020
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