Individual
HALLIE M BANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
31067 US HIGHWAY 19 N, PALM HARBOR, FL 34684-4416
(727) 333-9333
Mailing address
360 TRAILS END, AURORA, OH 44202-7937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28955
FL
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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