Organization
DEREK W. BANKS DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK W BANKS DDS (PRESIDENT)
(831) 637-8133
Entity
Organization
Contact information
Practice address
1710 MEMORIAL DR STE C, HOLLISTER, CA 95023-5700
(831) 637-8133
Mailing address
1710 MEMORIAL DR STE C, HOLLISTER, CA 95023-5700
(831) 637-8133
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
57965
CA
Other
Enumeration date
06/18/2017
Last updated
07/21/2022
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