DR. Susan Kay Banta
NPI #1528275799 in Wilmington, North Carolina
Provider Information
- NPI Number
- 1528275799
- Entity Type
- Individual
- Name
- DR. Susan Kay Banta
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- May 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1611 DOCTORS CIRCLE
- City
- Wilmington
- State
- North Carolina
- ZIP Code
- 28401
- Phone
- (910) 772-9770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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