Individual
ERIN LASSLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
105 NORTH PARK LANE, PO 70, MISHICOT, WI 54228
(920) 755-2336
Mailing address
1820 GRACE STREET, DE PERE, WI 54115
(414) 526-6497
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6118-015
WI
Other
Enumeration date
11/21/2007
Last updated
12/13/2007
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