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I, ___, authorizetheoceof:___(pa5ent)(formerden5st)Toreleasexrays,periodontalchar5ng,chart notes,andanyotherinforma5on
theyfeelmaybehelpfulto:Dr. TomLaster
2444NWProfessionalDr
Corvallis,OR97330
info@tomlasterdds.
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Tom Laster DDS in Corvallis refers to a dental practice run by Dr. Tom Laster, providing dental care and services to the local community in Corvallis, Oregon.
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Patients must report their personal details, insurance information, medical history, and any dental concerns they have when visiting Tom Laster DDS in Corvallis.
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