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NPI Code Detail

MEDICARE: SANFORD MARK SHAPIRO DMD

MEDICARE:   SANFORD MARK SHAPIRO  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistD8069FL

General Provider Information

NPI Number : 1508873290
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANFORD MARK SHAPIRO DMD
Provider Business Mailing Address
First Line : 13550 N KENDALL DR
Second Line : SUITE 170
City : MIAMI
State : FL
Zip : 33186-1543
Country : US
Telephone Number : 305-387-3002
Fax Number : 305-388-5900
Provider Business Practice Location Address
First Line : 13550 N KENDALL DR
Second Line : SUITE 170
City : MIAMI
State : FL
Zip : 33186-1543
Country : US
Telephone Number : 305-387-3002
Fax Number : 305-388-5900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 07/30/2008

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Directions to “ SANFORD MARK SHAPIRO DMD” Practice Location

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