| Dental Excellence Of Sand Lake | |
|
7932 W Sand Lake Rd Ste 105 Orlando FL 32819-7299 | |
| (407) 351-4229 | |
| (407) 351-2248 |
| Full Name | Dental Excellence Of Sand Lake |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7932 W Sand Lake Rd Ste 105, Orlando, Florida |
| Authorized Official Name and Position | Pam Hardiek (INSURANCE / CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Excellence Of Sand Lake 7932 W Sand Lake Rd Ste 105 Orlando FL 32819-7299 Ph: (407) 351-4229 | Dental Excellence Of Sand Lake 7932 W Sand Lake Rd Ste 105 Orlando FL 32819-7299 Ph: (407) 351-4229 |
| NPI Number | 1033366844 |
|---|---|
| Provider Enumeration Date | 08/22/2008 |
| Last Update Date | 08/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033366844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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