| Aa Bansal Pllc | |
|
317 Martin Luther King Jr Way Tacoma WA 98405-4234 | |
| (253) 326-7777 | |
| (866) 528-2025 |
| Full Name | Aa Bansal Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 317 Martin Luther King Jr Way, Tacoma, Washington |
| Authorized Official Name and Position | Shradha Bansal (DENTIST) |
| Authorized Official Contact | 4258304773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aa Bansal Pllc 615 Windsor Dr Se Sammamish WA 98074-3422 Ph: (253) 326-7777 | Aa Bansal Pllc 317 Martin Luther King Jr Way Tacoma WA 98405-4234 Ph: (253) 326-7777 |
| NPI Number | 1356596811 |
|---|---|
| Provider Enumeration Date | 11/25/2008 |
| Last Update Date | 11/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356596811 | NPI | - | NPPES |
| 5058490 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 602840244 (Washington) | Primary |
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