Individual
DR. HAJERA BANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1395 CENTER DR RM D1-19, GAINESVILLE, FL 32610-3006
(352) 273-7954
Mailing address
20627 LONGLEAF PINE AVE, TAMPA, FL 33647-3214
(813) 330-6124
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DRPM2730
FL
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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