David R. Laste D.d.s.,s.c.

NPI #1528163169 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1528163169
Entity Type: Organization
Organization Name: David R. Laste D.d.s.,s.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 14, 2006
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: DR. DAVID ROBERT LASTE, D.D.S.
Title: PRESIDENT
Phone: (414) 259-0665

Specialties & Taxonomy Codes

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

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