Individual provider · Type 1 NPI

Frank A. Lasley Iv, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Centralia, WA

NPI number 1669691796 Active

Practice location

2405 Borst Ave
Centralia, WA 98531-1411

Fax (360) 330-2074

Mailing address

PO Box 675
Centralia, WA 98531-0675

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDE00010717 (WA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1669691796

Frank A. Lasley Iv, DMD's National Provider Identifier is 1669691796, issued on Apr 25, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Centralia, WA. The record was last updated on Feb 29, 2008.