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1063544039
DAVID ROBERT LASTE
WAUWATOSA, WI
NPI
1063544039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5001793-015)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
Dr. DAVID ROBERT LASTE D.D.S.
11637 W NORTH AVE
WAUWATOSA, WI 53226-2129
Phone number: 414-259-0665
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Mailing Address
Dr. DAVID ROBERT LASTE D.D.S.
14600 CRESTWOOD CT
ELM GROVE, WI 53122-1601
Phone number: 262-785-9808
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