Individual
DR. STEPHEN J LASSLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
WRIGHTSTOWN DENTAL 450 HIGH ST STE 3, WRIGHTSTOWN, WI 54180-1253
(920) 532-0091
Mailing address
WRIGHTSTOWN DENTAL 450 HIGH ST STE 3, WRIGHTSTOWN, WI 54180-1253
(920) 532-0091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6162-015
WI
Other
Enumeration date
08/28/2007
Last updated
04/22/2013
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