Individual
DR. JOANNE BANNEROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10920 SE 208TH ST, KENT, WA 98031-4009
(253) 854-1222
(253) 859-1269
Mailing address
10920 SE 208TH ST, KENT, WA 98031-4009
(253) 854-1222
(253) 859-1269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007135
WA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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