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Individual

DR. BARRY JOSEPH BORAN SR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
240 S FOURTH ST, MINERSVILLE, PA 17954
(570) 544-4845
(570) 544-8036
Mailing address
240 S FOURTH ST, MINERSVILLE, PA 17954
(570) 544-4845
(570) 544-8036

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024038L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
117760
UNITED CONCORDIA
PA
Enumeration date
02/02/2006
Last updated
07/08/2007
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