Individual
CHARLES T BUNGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 HOWARD AVE, SUITE D103, ALTOONA, PA 16601-4810
(814) 889-6420
(814) 889-6423
Mailing address
1208 HANEY ST, CLEARFIELD, PA 16830-3258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS019231L
PA
Other
Enumeration date
06/06/2007
Last updated
07/09/2007
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