Whalio Doctors

NPI 1023541695

Carley Banks, ADT

Practitioner Advanced Practice Dental Therapist Faribault, MN

Practice location

Address
1575 20th St NW, Faribault, MN 55021
Phone
(507) 334-6433
Mailing address
1575 20th St NW STE 102, Faribault, MN 55021-2930

Registered specialties

Advanced Practice Dental Therapist Primary
Dental Providers Taxonomy 125K00000X Licence DT17 (MN)

Registry record

NPI
1023541695
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Apr 2017
Record last updated
24 Jul 2018

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.