Provider Demographics
NPI:1528473394
Name:SAKOWITZ, MARLA (DMD)
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:
Last Name:SAKOWITZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:MARLA
Other - Middle Name:
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:809 RINEHART RD
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4867
Mailing Address - Country:US
Mailing Address - Phone:407-323-4649
Mailing Address - Fax:
Practice Address - Street 1:809 RINEHART RD
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-4867
Practice Address - Country:US
Practice Address - Phone:407-323-4649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901021305122300000X
FLDN230651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist