| Neidre J Banakus Dds Pc Wendell | |
|
2255 Treelight Way Wendell NC 27591 | |
| (919) 200-0463 | |
| Not Available |
| Full Name | Neidre J Banakus Dds Pc Wendell |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2255 Treelight Way, Wendell, North Carolina |
| Authorized Official Name and Position | Neidre Janell Banakus (PRESIDENT) |
| Authorized Official Contact | 4152502237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neidre J Banakus Dds Pc Wendell 2255 Treelight Way Wendell NC 27591 Ph: (919) 200-0463 | Neidre J Banakus Dds Pc Wendell 2255 Treelight Way Wendell NC 27591 Ph: (919) 200-0463 |
| NPI Number | 1396468377 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396468377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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