| 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 |