Individual
CAMERON LASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2415 PACIFIC AVE SE, OLYMPIA, WA 98501-2065
(360) 943-4644
Mailing address
2415 PACIFIC AVE SE, OLYMPIA, WA 98501-2065
(360) 943-4644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60651940
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2015
Last updated
01/25/2022
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