Individual
DR. JASON PHILIP BANSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1021 PONTIAC RD, DREXEL HILL, PA 19026-4816
(610) 449-2001
Mailing address
1732 HAWTHORNE AVE, HAVERTOWN, PA 19083-1627
(610) 547-5818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037243
PA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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