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Individual

DR. SARAH RUTH LASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1769 NW KINGS BLVD, #8, CORVALLIS, OR 97330-1905
(541) 757-0755
Mailing address
19723 HIGHWAY 99, STE A, LYNNWOOD, WA 98036-6079
(425) 775-3456
(425) 775-0716

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
25705
TX
1223G0001X
General Practice Dentistry
Primary
D9627
OR

Other

Enumeration date
07/27/2010
Last updated
02/01/2017
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