Organization
AFFILIATED DENTAL SPECIALIST PL
Active
Other names
Dental Specialists of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN SHOOPAK DMD (ORTHODONTIST)
(727) 474-0317
Entity
Organization
Contact information
Practice address
6311 4TH ST N, ST PETERSBURG, FL 33702-7511
(727) 474-0317
(727) 526-1702
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
—
—
Other
Enumeration date
08/09/2016
Last updated
11/16/2017
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