Individual
RITIKA BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 GEORGIA AVE NW, WASHINGTON, DC 20010-2501
(202) 829-5437
(202) 829-9255
Mailing address
197 JUDITH LN APT 1, WATERBURY, CT 06704-1944
(317) 650-8604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12264
CT
122300000X
Dentist
DEN2000027
DC
122300000X
Dentist
Primary
DN123053
GA
Other
Enumeration date
07/19/2018
Last updated
05/31/2023
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