DR. Tommy Gale Laster JR., D.D.S.

NPI #1144516469 in Corvallis, Oregon

Provider Information

NPI Number: 1144516469
Entity Type: Individual
Name: DR. Tommy Gale Laster JR., D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 24, 2011
Last Updated: Nov 23, 2011

Practice Location

Address: 2444 NW PROFESSIONAL DR
City: Corvallis
State: Oregon
ZIP Code: 97330-3991
Phone: (541) 758-1505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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