Individual
RITU BANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BDS,MPH
Contact information
Practice address
855 A AVE NE, CEDAR RAPIDS, IA 52402-5057
(214) 458-4668
Mailing address
855 A AVE NE, CEDAR RAPIDS, IA 52402-5057
(214) 458-4668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08785
IA
1223G0001X
General Practice Dentistry
24372
TX
Other
Enumeration date
05/28/2009
Last updated
03/10/2014
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