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Ronald Jay Lascoe, D.M.D.

Dentist, Periodontics in Burbank, CA. Individual provider (NPI-1).

NPI number1346351954
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1346351954
Entity type
Individual (NPI-1)
Name
Ronald Jay Lascoe
Credential
D.M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics30608CAYes

Practice location

3808 W Riverside Dr
#204
Burbank, CA 91505-4325

Phone 818-842-6162 · Fax 818-842-2052

Mailing address

3808 W Riverside Dr
#204
Burbank, CA 91505-4325

Phone 818-842-6162 · Fax 818-842-2052

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