Individual
LESLY Y BANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7310 WALTON ST, ROCKFORD, IL 61108-4614
(815) 395-5555
Mailing address
4421 OLMSTEAD DR, HOFFMAN ESTATES, IL 60192-1141
(630) 229-7528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034334
IL
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
About Stedi
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