Individual
DR. MANENDU BANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8720 NORTHPARK BLVD, N CHARLESTON, SC 29406-9220
(843) 553-0911
(843) 553-0981
Mailing address
8720 NORTHPARK BLVD, N CHARLESTON, SC 29406-9220
(843) 553-0911
(843) 553-0981
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3456
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9768
—
SC
Enumeration date
12/27/2006
Last updated
06/27/2023
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