Individual
DR. CHARLES ANTHONY PUNTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
190 GARDNER AVE STE 6, BURLINGTON, WI 53105-2160
(262) 763-8360
(262) 763-5868
Mailing address
190 GARDNER AVE STE 6, BURLINGTON, WI 53105-2160
(262) 763-8360
(262) 763-5868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001381
WI
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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