Afilliated Dental Specialist Pl

NPI #1457800864 in Miami Lakes, Florida

Provider Information

NPI Number: 1457800864
Entity Type: Organization
Organization Name: Afilliated Dental Specialist Pl
Primary Specialty: Dentist
Enumeration Date: Sep 27, 2016
Last Updated: Oct 9, 2017

Practice Location

Address: 16010 NW 57TH AVE STE 106&108
City: Miami Lakes
State: Florida
ZIP Code: 33014-6706
Phone: (786) 319-9058

Authorized Official

Name: ALAN D SHOOPAK, DMD
Title: ORTHODONTIST
Phone: (786) 319-9058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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