Most Relevant Information
Provider Data
| NPI Number: | 1003036211 |
| Provider Name: | DALE LAZAR DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 0401005734 |
Most Important Dates
| Enumeration Date: | 04/27/2007 |
| Last Updated: | 03/17/2011 |
Provider Practice Location
283 MAIN STREET
KILMARNOCK
VA
22482
Practice Location Phone/Fax
| Phone: | 8044353008 |
| Fax: | 8044359239 |
Provider Mailing Location
PO BOX 730
KILMARNOCK
VA
224820730
Provider Mailing Phone/Fax
| Phone: | 8044353008 |
| Fax: | 8044359239 |