| NPI | 1932616232 |
|---|---|
| Doing Business As | PARK LAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ADAM MINEAR LAZAR Owner/Dentist 407-841-7321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 19831) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |