Lesly Y Banos, DMD

NPI #1740964998 in Rockford, Illinois

Provider Information

NPI Number: 1740964998
Entity Type: Individual
Name: Lesly Y Banos, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 9, 2023
Last Updated: Jun 9, 2023

Practice Location

Address: 7310 WALTON ST
City: Rockford
State: Illinois
ZIP Code: 61108-4614
Phone: (815) 395-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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