Individual
CHARLOTTE BUNNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
5005 N. PIEDRAS, US ARMY ACTIVITY, EL PASO, TX 79920-5001
(915) 742-3301
Mailing address
5005 N. PIEDRAS, US ARMY ACTIVITY, EL PASO, TX 79920-5001
(915) 742-3301
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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