Organization · Type 2 NPI
Dr. Cynthia C. Banderet, Dmd, PC
Dental Clinic/Center · Belleville, IL
NPI number
1679134829
Active
Practice location
2630 Mascoutah Ave., Suite A
Belleville, IL 62221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1679134829
Dr. Cynthia C. Banderet, Dmd, PC's National Provider Identifier is 1679134829, issued on Jun 27, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Belleville, IL. The record was last updated on Jun 27, 2019.