Organization
JESSIE BANKS DDS PS
Active
Other names
Kitsap Kid's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSIE BANKS DDS (OWNER)
(360) 698-3242
Entity
Organization
Contact information
Practice address
1344 NE MCWILLIAMS RD, SUITE 130, BREMERTON, WA 98311-3164
(360) 698-3242
Mailing address
1344 NE MCWILLIAMS RD, SUITE 130, BREMERTON, WA 98311-3164
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00010823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5053095
—
WA
Enumeration date
01/30/2012
Last updated
01/16/2014
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