Phillip Bruce Lassen D.M.D.

NPI 1053424622 - Dentist - 1223G0001X

NPI Details
NPI 1053424622
Gender Male
Enumeration Date 08/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
21978 HWY 62
SHADY COVE OR, 97539-1236, US
Phone (541) 878-2115
Fax (541) 878-2117
Business Location
PO BOX 1236
SHADY COVE OR, 97539-1236, US
Phone (541) 878-2115
Fax (541) 878-2117
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D5966
Remove 1053424622 NPI Number
 

According to our database, Dr. Phillip Bruce Lassen D.M.D. NPI is 1053424622, taxonomy code is 1223G0001X and license number is D5966, license state is located at Oregon. Phillip Bruce Lassen D.M.D. physically located at 21978 Hwy 62, Shady Cove OR, 97539-1236. NPI Number Phillip Bruce Lassen D.M.D. has the Individual type.

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1053424622 NPI number is provided on an as is basis without warranty of any kind. 1053424622 is maintained by the National Plan & Provider Enumeration System. The contents of Phillip Bruce Lassen D.M.D. are for informational purposes only.