Provider Demographics
NPI:1467571166
Name:MAALI, ZIYAD (DMD)
Entity Type:Individual
Prefix:DR
First Name:ZIYAD
Middle Name:
Last Name:MAALI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7932 W SAND LAKE RD
Mailing Address - Street 2:SUITE #301
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7263
Mailing Address - Country:US
Mailing Address - Phone:407-355-0608
Mailing Address - Fax:407-355-0696
Practice Address - Street 1:7932 W SAND LAKE RD
Practice Address - Street 2:SUITE #301
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7263
Practice Address - Country:US
Practice Address - Phone:407-355-0608
Practice Address - Fax:407-355-0696
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN16019122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist