Individual
DR. SHRADHA BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
85 NW ALDER PL STE B, ISSAQUAH, WA 98027-3201
(425) 657-0609
(866) 528-2025
Mailing address
615 WINDSOR DR SE, SAMMAMISH, WA 98074-3422
(425) 830-4773
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00008920
WA
Other
Enumeration date
10/14/2008
Last updated
06/11/2019
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