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Individual

DR. DALE LAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
283 MAIN STREET, KILMARNOCK, VA 22482
(804) 435-3008
(804) 435-9239
Mailing address
PO BOX 730, KILMARNOCK, VA 22482-0730
(804) 435-3008
(804) 435-9239

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005734
VA

Other

Enumeration date
04/27/2007
Last updated
03/17/2011
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