Individual
DR. JOSEPH MARK BANYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
919 W 15TH ST, HAZLETON, PA 18201-2707
(570) 454-1665
(570) 501-2589
Mailing address
9 ARROW RD, FREELAND, PA 18224-3028
(570) 636-2905
(570) 501-2589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027278L
PA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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