Individual
DR. STEVEN GENE BANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
775 S MAIN ST, SUITE C, COLVILLE, WA 99114-2514
(509) 684-4586
(509) 685-1043
Mailing address
775 S MAIN ST, SUITE C, COLVILLE, WA 99114-2514
(509) 684-4586
(509) 685-1043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004898
WA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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