Organization
DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE LAZAR DDS (OWNER)
(804) 435-3008
Entity
Organization
Contact information
Practice address
283 N MAIN ST, 283 MAIN STREET, KILMARNOCK, VA 22482-9997
(804) 435-3008
(804) 435-9239
Mailing address
PO BOX 730, 283 MAIN STREET, KILMARNOCK, VA 22482-0730
(804) 435-3008
(804) 435-9239
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401005734
VA
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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