| NPI | 1326249376 |
|---|---|
| Doing Business As | LAFAYETTE STREET DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOAN M VAUGHAN Director Hipaa Privacy Compliance 765-496-1927 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-07-23 |