Charles C Banister Dmd
NPI #1154747293 in Derry, New Hampshire
Provider Information
- NPI Number
- 1154747293
- Entity Type
- Organization
- Organization Name
- Charles C Banister Dmd
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 13, 2014
- Last Updated
- Mar 13, 2014
Practice Location
- Address
- 1 BIRCH ST
- City
- Derry
- State
- New Hampshire
- ZIP Code
- 03038-2101
- Phone
- (603) 432-3335
Authorized Official
- Name
- DR. CHARLES BANISTER, DMD
- Title
- OWNER
- Phone
- (603) 432-3335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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