-- POONAM BANSI --
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1417350950- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 8224 PARK LN 125, DALLAS, TX, 752316011
- Phone
- (214) 987-1131
Specialties & Taxonomies
Dentist
Primary License: TX #30332