| NPI | 1821792607 | 
|---|---|
| Doing Business As | SUN N LAKE DENTAL | 
| Entity Type | Organization | 
| Authorized Contact | JAMES OXER Owner 863-414-5779  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental | 
| Enumeration Date | 2023-03-28 | 
| Last Update Date | 2023-03-28 |