Dr. Cynthia C. Banderet, Dmd, PC
NPI #1679134829 in Belleville, Illinois
Provider Information
- NPI Number
- 1679134829
- Entity Type
- Organization
- Organization Name
- Dr. Cynthia C. Banderet, Dmd, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DR. CYNTHIA C. BANDERET, DMD, PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 27, 2019
- Last Updated
- Jun 27, 2019
Practice Location
- Address
- 2630 MASCOUTAH AVE.
- Address 2
- SUITE A
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221
- Phone
- (618) 234-8411
Authorized Official
- Name
- DR. CYNTHIA BANDERET, DMD
- Title
- OWNER/DENTIST
- Phone
- (618) 234-8411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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