Organization · Type 2 NPI
Banstola
Dental Clinic/Center · Tucker, GA
NPI number
1114685740
Active
Practice location
2315 Brockett Rd
Tucker, GA 30084-4412
Mailing address
PO Box 2635
Tucker, GA 30085-2635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Tucker
- Donald H. Bohne, Dds, PADental Clinic/Center Tucker, GA NPI 1033715081
- Itarut Dental LLCDental Clinic/Center Tucker, GA NPI 1164986113
- Peach Blossom Dental, LLCDental Clinic/Center Tucker, GA NPI 1174051908
- Gadentalgrp, LLCDental Clinic/Center Tucker, GA NPI 1336771948
- Paradigm Prosthodontics and Consulting, LLCDental Clinic/Center Tucker, GA NPI 1427864891
About NPI 1114685740
Banstola's National Provider Identifier is 1114685740, issued on Dec 1, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tucker, GA. The record was last updated on Dec 1, 2021.