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Organization

MICHAEL K. BAN, DMD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL K. BAN DMD (DOCTOR/OWNER)
(412) 367-3020
Entity
Organization

Contact information

Practice address
4725 MCKNIGHT RD, SUITE 209, PITTSBURGH, PA 15237-3414
(412) 367-3020
(412) 367-5940
Mailing address
4725 MCKNIGHT RD, SUITE 209, PITTSBURGH, PA 15237-3414
(412) 367-3020
(412) 367-5940

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS022496L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008772510002
PA
Enumeration date
06/10/2016
Last updated
06/10/2016
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