Charles Banister, DMD Valid NPI
Individual provider · Dentist · Derry, NH
- NPI
- 1164848693
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- NH 2371 (NH)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2014-03-07
- Last updated
- 2021-12-22
Practice location
30 Pinkerton St
Derry, NH 03038-1504
(603) 432-3335