Individual
DR. MICHAEL J BANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2179 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1210
(617) 864-8629
Mailing address
2179 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17304
MA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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