Organization
BANNER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAEL BANNER DDS (OWNER/ MEMBER LLC)
(206) 801-3900
Entity
Organization
Contact information
Practice address
8540 1ST AVE NW STE. 8, SEATTLE, WA 98117
(206) 801-3900
(206) 902-9877
Mailing address
8540 1ST AVE NW STE. 8, SEATTLE, WA 98117
(206) 801-3900
(206) 902-9877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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