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Georgia Banks, CMT
NPI 1982972428 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3190 Old Tunnel Rd Ste C
Lafayette, CA 94549 - Phone
- (925) 586-3951
- Organisation at this address
- Kevin Ko, A Professional Dental Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 225700000X
- Licence states on file
- CA, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-12-13
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 California