Individual
MICHELE M BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AP RDH
Contact information
Practice address
338 N 15TH AVE, PHOENIX, AZ 85007-2402
(602) 971-6535
Mailing address
5201 E GRANDVIEW RD, SCOTTSDALE, AZ 85254-1134
(602) 971-6535
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H1476
AZ
Other
Enumeration date
03/28/2007
Last updated
04/10/2016
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