Provider Demographics
NPI:1841353372
Name:LASKY, MICHAEL OLIVER (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:OLIVER
Last Name:LASKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12930 VENTURA BLVD STE 226C
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2200
Mailing Address - Country:US
Mailing Address - Phone:818-465-7545
Mailing Address - Fax:818-705-3086
Practice Address - Street 1:12930 VENTURA BLVD STE 226C
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2200
Practice Address - Country:US
Practice Address - Phone:818-465-7545
Practice Address - Fax:818-705-3086
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA430321223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry