| NPI | 1992118087 |
|---|---|
| Other Name | KATHY A BANKS |
| Entity Type | Organization |
| Authorized Contact | KATHY A BANKS Sole Member 609-488-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |