Provider Demographics
NPI:1215751813
Name:DENTAL ZONE PLLC
Entity type:Organization
Organization Name:DENTAL ZONE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIUSKA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:407-378-3704
Mailing Address - Street 1:315 WEST RD
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-5300
Mailing Address - Country:US
Mailing Address - Phone:407-378-3704
Mailing Address - Fax:407-378-2637
Practice Address - Street 1:315 WEST RD
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-5300
Practice Address - Country:US
Practice Address - Phone:407-378-3704
Practice Address - Fax:407-378-2637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental