DR. BRENT S. BANNER

BURLEY, ID
NPI1437329356
Entity TypeOrganization
Authorized ContactBRENT BANNER
Owner
208-678-5597
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D3028)
Enumeration Date2008-03-06
Last Update Date2008-03-06
Business Address
DR. BRENT S. BANNER
1010 E MAIN ST
BURLEY, ID 83318-2045
Phone number: 208-678-5597
Mailing Address
DR. BRENT S. BANNER
1010 EAST MAIN
BURLEY, ID 83318-2045
Phone number:
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