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Raven Banks, DMD

NPI 1295231975 · on the registry since 2018 · sole proprietor

Practice

Address
3728 Crain Hwy Unit 105
Waldorf, MD 20603
Phone
(240) 448-2634
Organisation at this address
Smile Nest Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
390200000X
Licence states on file
VA, MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland