Organization
BAN ORAL AND FACIAL SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE D. FRANK (OFFICE MANAGER)
(412) 367-3020
Entity
Organization
Contact information
Practice address
4725 MCKNIGHT RD STE 209, PITTSBURGH, PA 15237-3414
(412) 367-3020
(412) 367-5940
Mailing address
4725 MCKNIGHT RD STE 209, PITTSBURGH, PA 15237-3414
(412) 367-3020
(412) 367-5940
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS022496L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034343930001
—
PA
Enumeration date
08/17/2018
Last updated
08/17/2018
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