Individual
DR. KRIS BANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
664 E MAIN ST STE F, CENTREVILLE, MI 49032-8515
(269) 467-9325
Mailing address
8613 TOZER CT APT 5, PORTAGE, MI 49024-4831
(980) 226-2239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600849
MI
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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