LAEL B BANNER

TUMWATER, WA
NPI1770507915
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  00009682)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
-- LAEL B BANNER dds
6340 LITTLEROCK RD SW
TUMWATER, WA 98512-7332
Phone number: 360-786-1313
Mailing Address
-- LAEL B BANNER dds
2216 9TH AVE SW
OLYMPIA, WA 98502-5138
Phone number: 360-786-1313
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