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Individual

DR. BRIAN A LASSITER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
705 W LA VETA AVE, STE 202, ORANGE, CA 92868-4402
(714) 997-2735
(714) 997-9022
Mailing address
705 W LA VETA AVE, STE 202, ORANGE, CA 92868-4402
(714) 997-2735
(714) 997-9022

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30834
CA

Other

Enumeration date
01/04/2006
Last updated
07/08/2007
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