Affiliated Dental Specialist

NPI #1497106033 in Brandon, Florida

Provider Information

NPI Number: 1497106033
Entity Type: Organization
Organization Name: Affiliated Dental Specialist
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 24, 2016
Last Updated: Oct 9, 2017

Practice Location

Address: 2488 W BRANDON BLVD STE B
City: Brandon
State: Florida
ZIP Code: 33511-4710
Phone: (813) 337-6746

Authorized Official

Name: ALAN SHOOPAK, DMD
Title: ORTHODONTIST
Phone: (813) 337-6746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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