David Allen Banach, DDS Valid NPI

Individual provider · Endodontics · Jamestown, NY

NPI

1760529762

Type

Individual (Type 1)

Primary specialty

Endodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223E0200X

License number

039007 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-31

Last updated

2007-07-08