Individual
DR. ANKITA BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
17 YOUNG ST, WORCESTER, MA 01603-1420
(347) 741-1152
Mailing address
26 WORCESTER ST APT 503, BOSTON, MA 02118-3377
(347) 741-1152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857045
MA
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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