Organization
S. SCOTT LASTER, D.D.S., INC.
Active
Other names
Grand River Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S SCOTT LASTER (DENTIST/ PRESIDENT)
(918) 369-4300
Entity
Organization
Contact information
Practice address
12 E. COMMERCIAL, INOLA, OK 74036
(918) 369-4300
(918) 369-6440
Mailing address
PO BOX 99, INOLA, OK 74036-0099
(918) 369-4300
(918) 369-6440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5021
OK
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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