Individual
MICHAELA MARIE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
3810 W BROAD ST UNIT 1132, RICHMOND, VA 23230-3954
(757) 439-4655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419048
VA
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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