Individual
DR. SAMUEL THOMAS BANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1151 EAST PARIS AVE SE, SUITE 100, GRAND RAPIDS, MI 49546-3605
(616) 949-5980
(616) 949-5981
Mailing address
1151 EAST PARIS AVE SE, SUITE 100, GRAND RAPIDS, MI 49546-3605
(616) 949-5980
(616) 949-5981
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12766
MI
Other
Enumeration date
03/14/2007
Last updated
07/18/2024
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