| Alan D Shoopak Dmd Orthodontic Group Ii Llc | |
|
2161 E Commercial Blvd Fort Lauderdale FL 33308-3810 | |
| (954) 751-5551 | |
| Not Available |
| Full Name | Alan D Shoopak Dmd Orthodontic Group Ii Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2161 E Commercial Blvd, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Alan David Shoopak (PRESIDENT OWNER) |
| Authorized Official Contact | 7275617666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan D Shoopak Dmd Orthodontic Group Ii Llc 6311 4th St N St Petersburg FL 33702-7511 Ph: () - | Alan D Shoopak Dmd Orthodontic Group Ii Llc 2161 E Commercial Blvd Fort Lauderdale FL 33308-3810 Ph: (954) 751-5551 |
| NPI Number | 1689289621 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689289621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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