Individual
OLGA A SANIUKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1650 45TH ST S STE 108, FARGO, ND 58103-3247
(701) 526-4652
(701) 282-2572
Mailing address
3626 E HAMILTON KY, WEST PALM BEACH, FL 33411-6436
(727) 505-3720
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
12014626A
IN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN24170
FL
Other
Enumeration date
06/11/2019
Last updated
08/16/2025
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