| 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 |