Dr. Basu Banstola
Dr. Basu Banstola is a Dentist in Tucker, Georgia. Licensed in Pennsylvania. Registered with an NPI since 2014.
- Licensed in
- PA
- In the registry since
- 2014
Practice location Address checks out
2315 Brockett RdTucker, GA 30084-4412
Phone: (770) 934-1698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DS040169 (PA) |
|---|
Record details
| NPI number | 1891197810 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 22, 2014 |
| Last updated in NPPES | December 1, 2021 |
| Certification date | December 1, 2021 |
| Mailing address | Po Box 2635, Tucker, GA 30085-2635 |
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