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Organization
DR. CYNTHIA C. BANDERET, DMD, PC
Active
Organization
DR. CYNTHIA C. BANDERET, DMD, PC
Active
Parent organization
DR. CYNTHIA C. BANDERET, DMD, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. CYNTHIA C. BANDERET, DMD, PC
Authorized official
DR. CYNTHIA BANDERET DMD (OWNER/DENTIST)
(618) 234-8411
Entity
Organization
Contact information
Practice address
2630 MASCOUTAH AVE., SUITE A, BELLEVILLE, IL 62221
(618) 234-8411
Mailing address
2630 MASCOUTAH AVE., SUITE A, BELLEVILLE, IL 62221
(618) 234-8411
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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