Individual
ANKITA BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WOLFE NURSERY RD, 190, STEPHENVILLE, TX 76401-3731
(484) 431-9143
Mailing address
100 WOLFE NURSERY RD, STEPHENVILLE, TX 76401-3731
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30292
TX
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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