SHIPRA BANSAL
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1427898345- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 330 PROGRESS CIR STE C, BLUE RIDGE, GA, 305136262
- Phone
- (678) 365-0322
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Dentist
Primary License: GA #DN123561
All Addresses
MAILING
501 WALES DR
JOHNS CREEK, GA, 300228404