DR. Lisa Marie Banning, DMD, MSD
NPI #1700867702 in Tamaqua, Pennsylvania
Provider Information
- NPI Number
- 1700867702
- Entity Type
- Individual
- Name
- DR. Lisa Marie Banning, DMD, MSD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DMD, MSD
- Enumeration Date
- Nov 8, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 17 W BROAD ST
- Address 2
- SUITE 2
- City
- Tamaqua
- State
- Pennsylvania
- ZIP Code
- 18252-1914
- Phone
- (570) 952-6150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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