Organization
LANOKA SHORES LLC
Active
Other names
Kathy A Banks
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY A BANKS DMD (SOLE MEMBER)
(609) 488-2325
Entity
Organization
Contact information
Practice address
249 S MAIN ST UNIT 4, BARNEGAT, NJ 08005-2301
(609) 488-2325
(609) 488-2342
Mailing address
249 S MAIN ST UNIT 4, BARNEGAT, NJ 08005-2301
(609) 488-2325
(609) 488-2342
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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