Individual
DR. SANDRA S WASIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 BURNSED PL, SUITE 1000, OVIEDO, FL 32765-6695
(407) 366-9090
Mailing address
100 BURNSED PL, SUITE 1000, OVIEDO, FL 32765-6695
(407) 366-9090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN15762
FL
1223D0001X
Public Health Dentistry
Primary
DN15762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001347951
NPI
FL
05
—
075214200
—
FL
Enumeration date
02/23/2006
Last updated
05/26/2014
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