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Individual

DR. ROBERT JAMES BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
11800 SUNRISE VALLEY DR., SUITE 1137, RESTON, VA 20191
(703) 391-8836
(703) 391-6802
Mailing address
11800 SUNRISE VALLEY DR., SUITE 1137, RESTON, VA 20191
(703) 391-8836
(703) 391-6802

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007772
VA
208D00000X
General Practice Physician
0401007772
VA

Other

Enumeration date
12/11/2006
Last updated
09/30/2014
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