DR. Charles Anthony Puntillo, DDS

NPI #1306920442 in Burlington, Wisconsin

Provider Information

NPI Number: 1306920442
Entity Type: Individual
Name: DR. Charles Anthony Puntillo, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 190 GARDNER AVE STE 6
City: Burlington
State: Wisconsin
ZIP Code: 53105-2160
Phone: (262) 763-8360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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