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8740 N Kendall Dr Ste. 203 Miami FL 33176-2212 | |
| (305) 274-3113 | |
| (305) 271-3640 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8740 N Kendall Dr, Miami, Florida |
| Authorized Official Name and Position | Alan D. Shoopak (OWNER) |
| Authorized Official Contact | 7275225599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6311 4th St N St Petersburg FL 33702-7511 Ph: (727) 522-5599 | 8740 N Kendall Dr Ste. 203 Miami FL 33176-2212 Ph: (305) 274-3113 |
| NPI Number | 1003941907 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 10/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003941907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Florida) | Primary |
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