| NPI | 1700374212 |
|---|---|
| Doing Business As | SAND LAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ZIYAD MAALI Owner/ Dentist 407-355-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN16019) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |