Individual
DR. THOMAS GARY BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
810 S COMMERCIAL ST, NEENAH, WI 54956-3802
(920) 725-0810
Mailing address
1692 SHANGRA LA, NEENAH, WI 54956-1161
(920) 725-0646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000745
WI
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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