Individual
JONATHAN M LAFOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
455 OLD TROLLEY RD, STE E, SUMMERVILLE, SC 29485-5669
(843) 851-0104
(843) 851-0210
Mailing address
8602 ARTHUR HILLS CIR, CHARLESTON, SC 29420-7424
(843) 760-0640
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
3170
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970893
UNITED CONCORDIA
SC
05
—
Z31706
—
SC
Enumeration date
08/16/2006
Last updated
07/08/2007
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