DR. Phillip Bruce Lassen, D.M.D.

NPI #1053424622 in Shady Cove, Oregon

Provider Information

NPI Number: 1053424622
Entity Type: Individual
Name: DR. Phillip Bruce Lassen, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Aug 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 21978 HWY 62
City: Shady Cove
State: Oregon
ZIP Code: 97539-1236
Phone: (541) 878-2115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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