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Individual

DR. LARA ONISCHUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
503 JACKSON ST, BELLE FOURCHE, SD 57717-1716
(605) 892-6347
Mailing address
503 JACKSON ST, BELLE FOURCHE, SD 57717-1716
(605) 892-6347

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1427
SD
1223G0001X
General Practice Dentistry
D1427
SD

Other

Enumeration date
04/11/2024
Last updated
04/11/2024
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