NPI | 1528040755 |
---|---|
Former Legal Business Name | JONATHAN M. LAFOND DMD, PA |
Entity Type | Organization |
Authorized Contact | TONI B LAFOND Insurance Coordiantor 843-851-0104 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 3170) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2018-06-21 |