Individual
DR. BRIAN GLEN BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2500 S POWER RD STE 128, MESA, AZ 85209
(480) 699-8082
(480) 588-5118
Mailing address
2232 E 900 S, SALT LAKE CITY, UT 84108-1404
(801) 935-4422
(801) 662-2390
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8027359-9922
UT
Other
Enumeration date
08/28/2012
Last updated
10/16/2018
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