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David R. Laste D.d.s.,s.c.
General Practice Dentistry in Wauwatosa, Wisconsin
NPI 1528163169

David R. Laste D.d.s.,s.c. is a General Practice Dentistry based in Wauwatosa, WI and is specialized in General Practice. David R. Laste D.d.s.,s.c. practices in Wauwatosa, WI. The NPI Number for David R. Laste D.d.s.,s.c. is 1528163169 and holds a License No. 5001793-015 (Wisconsin).

The current practice location address for David R. Laste D.d.s.,s.c. is 11637 W North Ave, Wauwatosa, WI and can be reached out via phone at 414-259-0665 and via fax at 262-785-6242. You can also correspond with David R. Laste D.d.s.,s.c. through the mailing address at 11637 W NORTH AVE, WAUWATOSA, WI - 53226-2129 (mailing address contact number: 414-259-0665).

Location: 11637 W North Ave, Wauwatosa, WI, 53226-2129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528163169
Provider Name
David R. Laste D.d.s.,s.c.
Credential
Provider Entity Type
Organization
Address
11637 W North Ave, Wauwatosa, WI, 53226-2129
Phone Number
414-259-0665
Fax Number
262-785-6242
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11637 W North Ave
City
Wauwatosa
State
Wisconsin
Zip
53226-2129
Phone Number
414-259-0665
Fax Number
262-785-6242
person
Provider Business Mailing Address Details
Address
11637 W North Ave
City
Wauwatosa
State
Wisconsin
Zip
53226-2129
Phone Number
414-259-0665
Fax Number
262-785-6242
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5001793-015 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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