RANDY PAUL BANIC

LA PORTE, IN
NPI1508987769
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  IN9219)
Enumeration Date2007-04-03
Last Update Date2007-07-08
Business Address
Dr. RANDY PAUL BANIC DDS
910 I ST
LA PORTE, IN 46350-5533
Phone number: 219-325-0202
Mailing Address
Dr. RANDY PAUL BANIC DDS
910 I ST
LA PORTE, IN 46350-5533
Phone number: 219-325-0202
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