Organization
AFFILIATED DENTAL SPECIALIST
Active
Other names
Dental Specialists Of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN SHOOPAK DMD (ORTHODONTIST)
(813) 337-6746
Entity
Organization
Contact information
Practice address
2488 W BRANDON BLVD STE B, BRANDON, FL 33511-4710
(813) 337-6746
(813) 661-6240
Mailing address
6311 4TH ST N, ST PETERSBURG, FL 33702-7511
(727) 474-0317
(727) 526-1702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN9319
FL
Other
Enumeration date
06/24/2016
Last updated
10/09/2017
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