Kevin D. Banner D.D.S.

NPI 1023053238 - Dentist - 1223G0001X

NPI Details
NPI 1023053238
Gender Male
Enumeration Date 06/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1010 E MAIN ST
BURLEY ID, 83318-2045, US
Phone (208) 678-5597
Fax (208) 678-5663
Business Location
1010 E MAIN ST
BURLEY ID, 83318-2045, US
Phone (208) 678-5597
Fax (208) 678-5663
Toxanomy
Taxonomy Code 1223G0001X
License State Idaho
License Number D1892
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According to our database, Dr. Kevin D. Banner D.D.S. NPI is 1023053238, taxonomy code is 1223G0001X and license number is D1892, license state is located at Idaho. Kevin D. Banner D.D.S. physically located at 1010 E Main St, Burley ID, 83318-2045. NPI Number Kevin D. Banner D.D.S. has the Individual type.

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1023053238 NPI number is provided on an as is basis without warranty of any kind. 1023053238 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin D. Banner D.D.S. are for informational purposes only.