PREMILLA BANWAIT

AURORA, CO
NPI1043535008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152WP0200X Optometrist, Pediatrics
(Licence: CO  2805)
Enumeration Date2010-04-02
Last Update Date2012-08-16
Business Address
PREMILLA BANWAIT OD
13123 E 16TH AVE
AURORA, CO 80045-7106
Phone number: 720-777-1234
Mailing Address
PREMILLA BANWAIT OD
PO BOX 110429
AURORA, CO 80042-0429
Phone number: 303-493-7000