Organization
AML DENTISTRY
Active
Other names
Park Lake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM MINEAR LAZAR DMD (OWNER/DENTIST)
(407) 841-7321
Entity
Organization
Contact information
Practice address
304 E COLONIAL DR, ORLANDO, FL 32801-1206
(407) 841-7321
Mailing address
304 E COLONIAL DR, ORLANDO, FL 32801-1206
(407) 841-7321
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861757460
INDIVIDUAL NPI
FL
Enumeration date
01/08/2018
Last updated
01/08/2018
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