Individual
JESSICA L BANJANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1544 OXBOW DR STE 230, MONTROSE, CO 81401-5189
(970) 240-8880
Mailing address
515 W 5TH AVE APT 434, COLUMBUS, OH 43201-0115
(732) 343-0180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00206287
CO
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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