STEPHEN A BANKSTON

MARIETTA, GA
NPI1235133661
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: GA  DN0012418)
Enumeration Date2005-06-13
Last Update Date2010-08-10
Business Address
Dr. STEPHEN A BANKSTON D.M.D.
1000 JOHNSON FERRY RD BLDG H
MARIETTA, GA 30068-5518
Phone number: 770-977-0364
Mailing Address
Dr. STEPHEN A BANKSTON D.M.D.
1000 JOHNSON FERRY RD BLDG H
MARIETTA, GA 30068-5518
Phone number: 770-977-0364
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