Provider Demographics
NPI:1700374212
Name:Z MAALI DENTAL INC.
Entity Type:Organization
Organization Name:Z MAALI DENTAL INC.
Other - Org Name:SAND LAKE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ZIYAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MAALI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:407-355-0608
Mailing Address - Street 1:7932 W SAND LAKE RD STE 301
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7230
Mailing Address - Country:US
Mailing Address - Phone:407-355-0608
Mailing Address - Fax:
Practice Address - Street 1:7932 W SAND LAKE RD STE 301
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7230
Practice Address - Country:US
Practice Address - Phone:407-355-0608
Practice Address - Fax:407-355-0696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN16019261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental