Individual
DR. CHARLOTTE E. BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2281 BENTON RD, BOSSIER CITY, LA 71111-3403
(318) 742-9852
Mailing address
2281 BENTON RD, BOSSIER CITY, LA 71111-3403
(318) 742-9852
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5859
LA
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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