Organization
NEIDRE J BANAKUS DDS PC WENDELL
Active
Other names
THE SMILING TURTLE PEDIATRIC DENTISTRY WENDELL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIDRE JANELL BANAKUS DDS (PRESIDENT)
(415) 250-2237
Entity
Organization
Contact information
Practice address
2255 TREELIGHT WAY, WENDELL, NC 27591
(919) 200-0463
Mailing address
2255 TREELIGHT WAY, WENDELL, NC 27591
(919) 200-0463
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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