Individual
DR. JONATHAN ALAN BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
105 ELMORA AVE, ELIZABETH, NJ 07202-1614
(908) 354-1490
(908) 354-6996
Mailing address
105 ELMORA AVE, ELIZABETH, NJ 07202-1614
(908) 354-1490
(908) 354-6996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI19486
NJ
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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