REETI BANERJEE
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1679214092- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 501 S PRESTON ST, LOUISVILLE, KY, 402021701
- Phone
- (480) 310-6479
Specialties & Taxonomies
Dentist, General Practice
License: AZ #D011942
Student in an Organized Health Care Education/Training Program
Dentist
Primary License: KY #11320
All Addresses
MAILING
501 S PRESTON ST
LOUISVILLE, KY, 402021701