Individual
DR. ELLEN F BORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1144 E. MAIN ST., HEGINS, PA 17938-0000
(570) 682-8143
(570) 682-8630
Mailing address
1144 E. MAIN ST., P.O. BOX 369, HEGINS, PA 17938-0000
(570) 682-8143
(570) 682-8630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS021657L
PA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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