Laska Dental Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LASKA DENTAL INC

Practice address

5602 W Manchester Ave
Los Angeles, CA 90045

Phone

(310) 450-0300

Fax

(310) 861-8122

NPI assigned

Oct 28, 2019

Reactivated

Feb 19, 2020

Last updated

Feb 19, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Srol Laska, DDS

Title

President

Phone

(310) 450-0300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1396388849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 W MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90045",
            "telephone_number": "310-450-0300",
            "fax_number": "310-861-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 W MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90045",
            "telephone_number": "310-450-0300",
            "fax_number": "310-861-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASKA DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "deactivation_date": "2020-01-03",
        "reactivation_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "LASKA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "SROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-450-0300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeiran Lashai, L.AC.
• Alexandra Lashley, MA, CCC-SLP
• Armani Lashley
• Siotame Lasitani
• Gary Phillip Lask, MD
• Mark Srol Laska, D.D.S.
• Deborah Lou Lasker, MS, RD
• Francine Lasker
• Isabel Lasker
• Chederia Laskey

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.