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Individual
DR. GEORGINA BABOL-BANEZ
Active
Individual
DR. GEORGINA BABOL-BANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
954810444
TAX ID
—
05
—
B39369-01
—
CA
Enumeration date
01/18/2007
Last updated
01/29/2009
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