Banich Family Dental

NPI #1730497983 in Colville, Washington

Provider Information

NPI Number: 1730497983
Entity Type: Organization
Organization Name: Banich Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 22, 2010
Last Updated: Sep 22, 2010

Practice Location

Address: 775 S MAIN ST
Address 2: STE C
City: Colville
State: Washington
ZIP Code: 99114-2514
Phone: (509) 684-4586

Authorized Official

Name: MISS JULIE ANN MACE
Title: OFFICE MANAGER
Phone: (509) 684-4586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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