Whalio Doctors

NPI 1013780394

Laci C Banks

Practitioner Dental Hygienist Bolivar, MO

Practice location

Address
1300 N Oakland Ave STE B, Bolivar, MO 65613-3008
Phone
(417) 326-6061
Mailing address
372 Springfield Rd, Buffalo, MO 65622-4120

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 2023021409 (MO)

Registry record

NPI
1013780394
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Oct 2023
Record last updated
30 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.