Individual
DR. JERRY MARSHAL LAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
7231 SW 63RD AVE, SOUTH MIAMI, FL 33143-4809
(305) 667-1191
(305) 667-2712
Mailing address
1500 SAN REMO AVE STE 100, CORAL GABLES, FL 33146-3043
(305) 667-1191
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1110
FL
Other
Enumeration date
10/18/2006
Last updated
06/10/2020
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