DR. Thomas M. Banta, D.D.S.

NPI #1407835382 in Portland, Indiana

Provider Information

NPI Number
1407835382
Entity Type
Individual
Name
DR. Thomas M. Banta, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jan 10, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
1413 W VOTAW ST
State
Indiana
ZIP Code
47371-9501
Phone
(260) 726-7822

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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