Brant D Banner, DDS

NPI #1760405187 in Tumwater, Washington

Provider Information

NPI Number
1760405187
Entity Type
Individual
Name
Brant D Banner, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6340 LITTLEROCK RD SW
ZIP Code
98512-7332
Phone
(360) 786-1313

Specialties & Taxonomy Codes

Specialty
Dentist

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