Tom Laster DDS LLC

NPI #1316391857 in Corvallis, Oregon

Provider Information

NPI Number
1316391857
Entity Type
Organization
Organization Name
Tom Laster DDS LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 21, 2016
Last Updated
Apr 21, 2016

Practice Location

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

Authorized Official

Name
ANGELINA RUIZ
Title
FRONT OFFICE
Phone
(541) 758-1505

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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