Individual
MS. BRANDY BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7575 SAN FELIPE ST, HOUSTON, TX 77063-1711
(713) 783-2800
Mailing address
7575 SAN FELIPE ST, HOUSTON, TX 77063-1711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22348
TX
1223G0001X
General Practice Dentistry
55495
CA
Other
Enumeration date
02/01/2008
Last updated
03/19/2014
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