Charles C Banister Dmd

NPI 1154747293 - Dentist - 1223G0001X

NPI Details
NPI 1154747293
Enumeration Date 03/13/2014
Last Updated 03/13/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CHARLES CHARLES
Position OWNER
Phone (603) 432-3335
Fax (603) 434-8593
Practice Location
1 BIRCH ST
DERRY NH, 03038-2101, US
Phone (603) 432-3335
Fax (603) 434-8593
Business Location
1 BIRCH ST
DERRY NH, 03038-2101, US
Phone (603) 432-3335
Fax (603) 434-8593
Toxanomy
Taxonomy Code 1223G0001X
License State New Hampshire
License Number 2371
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According to our database, Charles C Banister Dmd NPI is 1154747293, taxonomy code is 1223G0001X and license number is 2371, license state is located at New Hampshire. Charles C Banister Dmd physically located at 1 Birch St, Derry NH, 03038-2101. NPI Number 1033115704 has the healthcare provider type.

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1154747293 NPI number is provided on an as is basis without warranty of any kind. 1154747293 is maintained by the National Plan & Provider Enumeration System. The contents of Charles C Banister Dmd are for informational purposes only.