Charles Joseph Banasky DDS

NPI 1831285154 - Dentist - 122300000X

NPI Details
NPI 1831285154
Gender Male
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1440 W MANCHESTER AVE
LOS ANGELES CA, 90047-5422, US
Phone (323) 753-1141
Fax
Business Location
1549 PALOS VERDES DR W
PALOS VERDES ESTATES CA, 90274-1846, US
Phone (310) 378-4646
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 22468
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According to our database, Dr. Charles Joseph Banasky DDS NPI is 1831285154, taxonomy code is 122300000X and license number is 22468, license state is located at California. Charles Joseph Banasky DDS physically located at 1440 W Manchester Ave, Los Angeles CA, 90047-5422. NPI Number Charles Joseph Banasky DDS has the Individual type.

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1831285154 NPI number is provided on an as is basis without warranty of any kind. 1831285154 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Joseph Banasky DDS are for informational purposes only.