Laura Banty DMD

NPI 1790185361 - Dentist - 122300000X

NPI Details
NPI 1790185361
Gender Female
Enumeration Date 09/02/2014
Last Updated 09/02/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1852 CENTRE ST
WEST ROXBURY MA, 02132-1901, US
Phone (843) 557-4335
Fax
Business Location
178 PUTNAM AVE
CAMBRIDGE MA, 02139-2921, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Massachusetts
License Number DN1856611
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According to our database, Laura Banty DMD NPI is 1790185361, taxonomy code is 122300000X and license number is DN1856611, license state is located at Massachusetts. Laura Banty DMD physically located at 1852 Centre St, West Roxbury MA, 02132-1901. NPI Number Laura Banty DMD has the Individual type.

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1790185361 NPI number is provided on an as is basis without warranty of any kind. 1790185361 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Banty DMD are for informational purposes only.