DR. Sara E. Banuelos, D.D.S

NPI #1164542429 in Downers Grove, Illinois

Provider Information

NPI Number: 1164542429
Entity Type: Individual
Name: DR. Sara E. Banuelos, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Mar 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3800 HIGHLAND AVE STE 108
City: Downers Grove
State: Illinois
ZIP Code: 60515-1558
Phone: (630) 241-0666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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