DR. David Robert Laste, D.D.S.

NPI #1063544039 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1063544039
Entity Type: Individual
Name: DR. David Robert Laste, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Mar 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 11637 W NORTH AVE
City: Wauwatosa
State: Wisconsin
ZIP Code: 53226-2129
Phone: (414) 259-0665

Specialties & Taxonomy Codes

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

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