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1386164655
ELISABETH ANNA BANASIK
CLEVELAND, OH
NPI
1386164655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OH 30024966)
Enumeration Date
2017-06-27
Last Update Date
2017-06-27
Business Address
Ms. ELISABETH ANNA BANASIK
CASE WESTERN RESERVE SCHOOL OF DENTAL MEDICINE 2124 CORNELL ROAD
CLEVELAND, OH 44106
Phone number: 216-368-8665
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Mailing Address
Ms. ELISABETH ANNA BANASIK
10 ELEVEN RIVER
ROCKY RIVER, OH 44116
Phone number: 216-280-6949
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