JEROME A BANNISTER

SAN DIEGO, CA
NPI1922024934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  38253)
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
Dr. JEROME A BANNISTER dds
4370 PALM AVE SUITE C
SAN DIEGO, CA 92154-1760
Phone number: 619-428-8682
Mailing Address
Dr. JEROME A BANNISTER dds
4370 PALM AVE SUITE C
SAN DIEGO, CA 92154-1760
Phone number: 619-428-8682
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