Individual
DR. KENNETH RICHARD BANAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3615 SENECA ST, SUITE N, WEST SENECA, NY 14224-3444
(716) 674-0924
(716) 675-4774
Mailing address
3615 SENECA ST, SUITE N, WEST SENECA, NY 14224-3444
(716) 674-0924
(716) 675-4774
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
038341-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00834684
—
NY
Enumeration date
06/14/2006
Last updated
07/08/2007
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