SUSAN KAY BANTA

WILMINGTON, NC
NPI1528275799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: NC  5375)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
Dr. SUSAN KAY BANTA
1611 DOCTORS CIRCLE
WILMINGTON, NC 28401
Phone number: 910-772-9770
Mailing Address
Dr. SUSAN KAY BANTA
1611 DOCTORS CIRCLE
WILMINGTON, NC 28401
Phone number: 910-772-9770
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