Alexander Bannout Dds, PC

NPI #1982917522 in Pooler, Georgia

Provider Information

NPI Number
1982917522
Entity Type
Organization
Organization Name
Alexander Bannout Dds, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 25, 2010
Last Updated
Jul 25, 2010

Practice Location

Address
130 CANAL ST
Address 2
SUITE 204
City
Pooler
State
Georgia
ZIP Code
31322-4085
Phone
(912) 748-5868

Authorized Official

Name
DR. ALEXANDER BANNOUT, DDS
Title
DENTIST
Phone
(248) 890-7347

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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