Individual
DR. DEREK W BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1710 MEMORIAL DR STE C, HOLLISTER, CA 95023-5700
(831) 637-8133
Mailing address
1710 MEMORIAL DR STE C, HOLLISTER, CA 95023-5700
(831) 637-8133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
57965
CA
1223P0221X
Pediatric Dentistry
Primary
57965
CA
Other
Enumeration date
05/19/2009
Last updated
07/21/2022
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