SUSAN KAY BANTA DDS MS PA

WILMINGTON, NC
NPI1124181110
Entity TypeOrganization
Authorized ContactSUSAN KAY BANTA
President
910-772-9770
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
Enumeration Date2006-12-19
Last Update Date2007-12-17
Business Address
SUSAN KAY BANTA DDS MS PA
1611 DOCTORS CIRCLE
WILMINGTON, NC 28401
Phone number: 910-772-9770
Mailing Address
SUSAN KAY BANTA DDS MS PA
1611 DOCTORS CIRCLE
WILMINGTON, NC 28401
Phone number: 910-772-9770
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