David R. Laste DDS, SC
David R. Laste DDS, SC is a General Practice Dentistry in Wauwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
11637 W North AveWauwatosa, WI 53226-2129
Phone: (414) 259-0665
Fax: (262) 785-6242
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 5001793-015 (WI) |
|---|
Record details
| NPI number | 1528163169 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Laste — President · (414) 259-0665 |
| NPI enumerated | September 14, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 11637 W North Ave, Wauwatosa, WI 53226-2129 |
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