Provider Demographics
NPI:1922325307
Name:ONYSKI, LYUDMILA A (DDS)
Entity Type:Individual
Prefix:DR
First Name:LYUDMILA
Middle Name:A
Last Name:ONYSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4907 INTERNATIONAL PARKWAY
Mailing Address - Street 2:SUITE 1041
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771
Mailing Address - Country:US
Mailing Address - Phone:407-732-4570
Mailing Address - Fax:407-878-1293
Practice Address - Street 1:4907 INTERNATIONAL PARKWAY
Practice Address - Street 2:SUITE 1041
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771
Practice Address - Country:US
Practice Address - Phone:407-732-4570
Practice Address - Fax:407-878-1293
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19095122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDN19095OtherDDS