Charles Banister, DMD

NPI #1164848693 in Derry, New Hampshire

Provider Information

NPI Number: 1164848693
Entity Type: Individual
Name: Charles Banister, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 7, 2014
Last Updated: Dec 22, 2021

Practice Location

Address: 30 PINKERTON ST
City: Derry
State: New Hampshire
ZIP Code: 03038-1504
Phone: (603) 432-3335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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