Provider Demographics
NPI:1023782984
Name:LAYTON FAMILY DENTAL
Entity type:Organization
Organization Name:LAYTON FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:INAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:414-539-4005
Mailing Address - Street 1:131 W LAYTON AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-5941
Mailing Address - Country:US
Mailing Address - Phone:414-539-4005
Mailing Address - Fax:414-539-6007
Practice Address - Street 1:131 W LAYTON AVE STE 305
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207-5941
Practice Address - Country:US
Practice Address - Phone:414-539-4005
Practice Address - Fax:414-539-6007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty