Individual
DR. TIMOTHY BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1116 N CHINOWTH ST, VISALIA, CA 93291-7896
(559) 732-7946
Mailing address
1116 N CHINOWTH ST, VISALIA, CA 93291-7896
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
103178
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
103178
CA
Other
Enumeration date
06/26/2015
Last updated
02/22/2022
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