NPI | 1285654830 |
---|---|
Professional Name | SHUNDA THOMPSON BANKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN012649) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 23564) |
1223G0001X Dentist, General Practice (Licence: TX 23564) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 23564) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2023-11-08 |