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Individual

GEORGE A LASCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
400 N MAIN ST, ATHENS, PA 18810-1818
(570) 888-9621
Mailing address
400 N MAIN ST, ATHENS, PA 18810-1818
(570) 888-9621

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS019594L
PA

Other

Enumeration date
07/15/2008
Last updated
07/15/2008
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