Michael Dwaine Banks D.D.S.

NPI 1497971097 - Dentist - 1223G0001X

NPI Details
NPI 1497971097
Gender Male
Enumeration Date 04/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
606 BROOKSIDE DR
JACKSONVILLE TX, 75766-2519, US
Phone (903) 586-1551
Fax (903) 586-1552
Business Location
606 BROOKSIDE DR
JACKSONVILLE TX, 75766-2519, US
Phone (903) 586-1551
Fax (903) 586-1552
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 10566
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According to our database, Dr. Michael Dwaine Banks D.D.S. NPI is 1497971097, taxonomy code is 1223G0001X and license number is 10566, license state is located at Texas. Michael Dwaine Banks D.D.S. physically located at 606 Brookside Dr, Jacksonville TX, 75766-2519. NPI Number Michael Dwaine Banks D.D.S. has the Individual type.

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1497971097 NPI number is provided on an as is basis without warranty of any kind. 1497971097 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Dwaine Banks D.D.S. are for informational purposes only.