Laste, David Robert

Laste, David Robert is an individual health care provider with primary practice located at 11637 W North Ave , Wauwatosa WI 53226-2129. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Laste, David Robert can be contacted via phone (414) 259-0665.

Contact Information

Primary practice address
11637 W North Ave Wauwatosa WI 53226-2129
Phone: (414) 259-0665
Fax: (414) 259-1057
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5001793-015 Wisconsin

Profile Details

NPI number 1063544039
LBN Legal business name Laste, David Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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