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1336331628
KENNETH BANASIAK
BASKING RIDGE, NJ
NPI
1336331628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NJ 22DI02217600)
Enumeration Date
2007-08-10
Last Update Date
2007-08-10
Business Address
Dr. KENNETH BANASIAK DMD
65 SOUTH MAPLE AVE
BASKING RIDGE, NJ 07920
Phone number: 908-766-2444
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Mailing Address
Dr. KENNETH BANASIAK DMD
65 SOUTH MAPLE AVE
BASKING RIDGE, NJ 07920
Phone number: 908-766-2444
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