Dr. Sami K. Banoub, DMD
Dentist, General Practice in Lake Mary, FL. Individual provider (NPI-1).
NPI number1699786152
StatusActive
Last updated in NPPESJul 11, 2014
Details
- NPI
- 1699786152
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sami K. Banoub
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2006
- Last updated
- Jul 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN16659 | FL | Yes |
Practice location
752 Stirling Center PlSuite 1000
Lake Mary, FL 32746-4889
Phone 407-915-5421
Mailing address
752 Stirling Center PlSuite 1000
Lake Mary, FL 32746-4889
Phone 407-915-5421
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