Lael B Banner, DDS

NPI #1770507915 in Tumwater, Washington

Provider Information

NPI Number: 1770507915
Entity Type: Individual
Name: Lael B Banner, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6340 LITTLEROCK RD SW
City: Tumwater
State: Washington
ZIP Code: 98512-7332
Phone: (360) 786-1313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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