Individual
ATUL BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 MAIN ST, HAVERHILL, MA 01830-5048
(978) 912-0900
Mailing address
126 MAIN ST, HAVERHILL, MA 01830-5048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855712
MA
Other
Enumeration date
06/08/2011
Last updated
10/29/2022
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