Charles T Bungo, DMD
Dentist, General Practice in Altoona, PA. Individual provider (NPI-1).
NPI number1194928366
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1194928366
- Entity type
- Individual (NPI-1)
- Name
- Charles T Bungo
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS019231L | PA | Yes |
Practice location
501 Howard AveSuite D103
Altoona, PA 16601-4810
Phone 814-889-6420 · Fax 814-889-6423
Mailing address
1208 Haney StClearfield, PA 16830-3258
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