Laquisha Grace Banks

NPI #1972259521 in Edwards, California

Provider Information

NPI Number: 1972259521
Entity Type: Individual
Name: Laquisha Grace Banks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Feb 22, 2022
Last Updated: Feb 22, 2022

Practice Location

Address: 608 RUSHWORTH DR
City: Edwards
State: California
ZIP Code: 93523-2005
Phone: (850) 542-5305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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