Banstola

NPI #1114685740 in Tucker, Georgia

Provider Information

NPI Number
1114685740
Entity Type
Organization
Organization Name
Banstola
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 1, 2021
Last Updated
Dec 1, 2021

Practice Location

Address
2315 BROCKETT RD
City
Tucker
State
Georgia
ZIP Code
30084-4412
Phone
(770) 934-1698

Authorized Official

Name
BASU BANSTOLA, DMD
Title
OWNER DENTIST
Phone
(770) 934-1698

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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