Organization
NEIDRE BANAKUS DDS PLLC
Active
Other names
The Smiling Turtle Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
2255 TREELIGHT WAY, WENDELL, NC 27591-3216
(919) 200-0463
Mailing address
2255 TREELIGHT WAY, WENDELL, NC 27591-3216
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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