Thomas M. Banta, D.d.s., PC
NPI #1790409092 in Portland, Indiana
Provider Information
- NPI Number
- 1790409092
- Entity Type
- Organization
- Organization Name
- Thomas M. Banta, D.d.s., PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 29, 2022
- Last Updated
- Sep 29, 2022
Practice Location
Authorized Official
- Name
- THOMAS M. BANTA
- Title
- OWNER
- Phone
- (260) 726-7822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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