| Dr. Cynthia C. Banderet, Dmd, Pc | |
|
2630 Mascoutah Ave. Suite A Belleville IL 62221 | |
| (618) 234-8411 | |
| Not Available |
| Full Name | Dr. Cynthia C. Banderet, Dmd, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2630 Mascoutah Ave., Belleville, Illinois |
| Authorized Official Name and Position | Cynthia Banderet (OWNER/DENTIST) |
| Authorized Official Contact | 6182348411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Cynthia C. Banderet, Dmd, Pc 2630 Mascoutah Ave. Suite A Belleville IL 62221 Ph: (618) 234-8411 | Dr. Cynthia C. Banderet, Dmd, Pc 2630 Mascoutah Ave. Suite A Belleville IL 62221 Ph: (618) 234-8411 |
| NPI Number | 1679134829 |
|---|---|
| Provider Enumeration Date | 06/27/2019 |
| Last Update Date | 06/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679134829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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