Charles T Bungo DMD

NPI 1194928366 - Dentist - 1223G0001X

NPI Details
NPI 1194928366
Gender Male
Enumeration Date 06/06/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
501 HOWARD AVE
SUITE D103
ALTOONA PA, 16601-4810, US
Phone (814) 889-6420
Fax (814) 889-6423
Business Location
1208 HANEY ST
CLEARFIELD PA, 16830-3258, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS019231L
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According to our database, Charles T Bungo DMD NPI is 1194928366, taxonomy code is 1223G0001X and license number is DS019231L, license state is located at Pennsylvania. Charles T Bungo DMD physically located at 501 Howard Ave, Altoona PA, 16601-4810. NPI Number Charles T Bungo DMD has the Individual type.

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1194928366 NPI number is provided on an as is basis without warranty of any kind. 1194928366 is maintained by the National Plan & Provider Enumeration System. The contents of Charles T Bungo DMD are for informational purposes only.