Individual
ANSHU BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1116 W MAIN ST STE B, GUN BARREL CITY, TX 75156-5318
(903) 340-8540
(903) 340-8543
Mailing address
2022 TAWAKONI DR, IRVING, TX 75062-4808
(806) 274-9675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30665
TX
Other
Enumeration date
02/04/2015
Last updated
07/22/2024
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