| Boran Dental Assoc Pc | |
|
240 S Fourth St Minersville PA 17954 | |
| (570) 544-4845 | |
| (570) 544-8036 |
| Full Name | Boran Dental Assoc Pc |
|---|---|
| Speciality | Dentist |
| Location | 240 S Fourth St, Minersville, Pennsylvania |
| Authorized Official Name and Position | Barry Joseph Boran (PRESIDENT) |
| Authorized Official Contact | 5705444845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boran Dental Assoc Pc 240 S Fourth St Minersville PA 17954 Ph: (570) 544-4845 | Boran Dental Assoc Pc 240 S Fourth St Minersville PA 17954 Ph: (570) 544-4845 |
| NPI Number | 1306817770 |
|---|---|
| Provider Enumeration Date | 02/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306817770 | NPI | - | NPPES |
| 725533 | Other | PA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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