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Organization

ALAN D SHOOPAK DMD ORTHODONTIC GROUP II LLC

Active
Other names
Orthodontic Specialists of Florida
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN D. SHOOPAK D.M.D. (OWNER/ORTHODONTIST)
(727) 522-5599
Entity
Organization

Contact information

Practice address
5810 S UNIVERSITY DR STE 101-102, DAVIE, FL 33328-6107
(954) 680-2886
(954) 680-2885
Mailing address
6311 4TH ST N, ST PETERSBURG, FL 33702-7511
(727) 522-5599
(727) 526-1702

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN9319
FL

Other

Enumeration date
11/04/2009
Last updated
10/16/2015
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