Organization
CHARLES C BANISTER DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BANISTER DMD (OWNER)
(603) 432-3335
Entity
Organization
Contact information
Practice address
1 BIRCH ST, DERRY, NH 03038-2101
(603) 432-3335
(603) 434-8593
Mailing address
1 BIRCH ST, DERRY, NH 03038-2101
(603) 432-3335
(603) 434-8593
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2371
NH
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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