Individual
ESMERALDA R BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
550 S CARRIER PKWY STE 200, GRAND PRAIRIE, TX 75051-1592
(214) 677-0001
Mailing address
2601 ALABAMA AVE, DALLAS, TX 75216-2916
(214) 229-4444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38539
TX
1223G0001X
General Practice Dentistry
38539
TX
Other
Enumeration date
06/23/2022
Last updated
05/22/2024
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