Individual
SCOTT JOSEPH LAFONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
7219 N LITCHFIELD RD, DENTAL CLINIC, LUKE AFB, AZ 85309-1529
(623) 856-2553
Mailing address
13817 W EARLL DR, AVONDALE, AZ 85392-3550
(210) 315-7004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5411
LA
Other
Enumeration date
08/09/2005
Last updated
08/27/2012
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