Provider Demographics
NPI:1508926692
Name:LASH, ROBERT STEVEN (DDS , PC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:STEVEN
Last Name:LASH
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Gender:M
Credentials:DDS , PC
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Mailing Address - Street 1:10409 MONTGOMERY PKWY NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3852
Mailing Address - Country:US
Mailing Address - Phone:505-291-8630
Mailing Address - Fax:505-292-7563
Practice Address - Street 1:10409 MONTGOMERY PKWY NE
Practice Address - Street 2:SUITE 100
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3852
Practice Address - Country:US
Practice Address - Phone:505-291-8630
Practice Address - Fax:505-292-7563
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMDD14871223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics