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Individual
ANTHONY BUNNELL
Active
Individual
ANTHONY BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DRP838
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
ME128004
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DRP838
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
ME128004
FL
Other
Enumeration date
05/18/2010
Last updated
03/23/2023
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