Organization
AFILLIATED DENTAL SPECIALIST PL
Active
Other names
Dental Specialists Of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN D SHOOPAK DMD (ORTHODONTIST)
(786) 319-9058
Entity
Organization
Contact information
Practice address
16010 NW 57TH AVE STE 106&108, MIAMI LAKES, FL 33014-6706
(786) 319-9058
(305) 231-2020
Mailing address
6311 4TH ST N, ST PETERSBURG, FL 33702-7511
(727) 522-5599
(727) 526-1702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN9319
FL
Other
Enumeration date
09/27/2016
Last updated
10/09/2017
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