Individual
CHARLES BANISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
30 PINKERTON ST, DERRY, NH 03038-1504
(603) 432-3335
(603) 434-8593
Mailing address
30 PINKERTON ST, DERRY, NH 03038-1504
(603) 432-3335
(603) 434-8593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NH 2371
NH
Other
Enumeration date
03/07/2014
Last updated
12/22/2021
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