Individual provider · Type 1 NPI

Randy Paul Banic, DDS

General Practice Dentistry · La Porte, IN

NPI number 1508987769 Active

About NPI 1508987769

Randy Paul Banic, DDS's National Provider Identifier is 1508987769, issued on Apr 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in La Porte, IN. The record was last updated on Jul 8, 2007.