| NPI | 1417823626 |
|---|---|
| Doing Business As | SAND LAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ZIYAD MAALI Owner 407-355-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |