Dr. SUSAN KAY BANTA --
Individual Provider (NPI-1)
Active
Dentist, Periodontics
Provider Information
- NPI Number
1528275799- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1611 DOCTORS CIRCLE, WILMINGTON, NC, 28401
- Phone
- (910) 772-9770
- Fax
- (910) 772-1553
Specialties & Taxonomies
Dentist, Periodontics
Primary License: NC #5375