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Organization
BORAN DENTAL ASSOC PC
Active
Organization
BORAN DENTAL ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY JOSEPH BORAN SR. DMD (PRESIDENT)
(570) 544-4845
Entity
Organization
Contact information
Practice address
240 S FOURTH ST, MINERSVILLE, PA 17954
(570) 544-4845
(570) 544-8036
Mailing address
240 S FOURTH ST, MINERSVILLE, PA 17954
(570) 544-4845
(570) 544-8036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
725533
UNITED CONCORDIA
PA
Enumeration date
02/01/2006
Last updated
08/22/2020
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