Individual
DR. JOHN DAVID LASETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4175 SILVERTON RD NE, SALEM, OR 97305-2054
(503) 588-9700
(503) 588-4455
Mailing address
4175 SILVERTON RD NE, SALEM, OR 97305-2054
(503) 588-9700
(503) 588-4455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7020
OR
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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