Search › Wisconsin › 1223G0001X
David Laste, D.D.S
NPI 1063544039 · on the registry since 2007
Practice
- Address
- 11637 W North Ave
Wauwatosa, WI 53226 - Phone
- (414) 259-0665
- Fax
- (414) 259-1057
- Organisation at this address
- Mayfaif Family Dentistry
Mayfair Family Dentistry
David R. Laste D.D.S.,S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin