NPI 1063631117

F. Andrew Lasley, IV, DMD, PLLC

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Centralia, WA

Practice location

Address: 2405 Borst Ave, Centralia, WA 98531-1411
Phone: (360) 736-0129
Fax: (360) 330-2074
Mailing address: PO Box 675, Centralia, WA 98531-0675

Authorised official

Name: Frank A. Lasley
Title: Member
Phone: (360) 736-0129

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X

Other Dentist providers in Washington →

Registry record

NPI: 1063631117
Entity type: Organization
NPI issued: 25 Apr 2007
Record last updated: 29 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.