Michael Banawis Dds Professional Corporation Valid NPI

Organization · General Practice Dentistry · Duarte, CA

NPI

1366593097

Type

Organization (Type 2)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

49278 (CA)

Enumerated

2007-01-16

Last updated

2016-07-20