Organization
ALLEN NEW AGE DENTISTRY , PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITU BANSAL BDS, MPH (PRESIDENT)
(214) 458-4668
Entity
Organization
Contact information
Practice address
519 DUKE CT, ALLEN, TX 75013-2907
(214) 458-4668
Mailing address
519 DUKE CT, ALLEN, TX 75013-2907
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
24372
TX
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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