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David C Funderburk, dds

Dentist, Endodontics in Greeley, CO. Individual provider (NPI-1).

NPI number1245384643
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1245384643
Entity type
Individual (NPI-1)
Name
David C Funderburk
Credential
dds
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 22, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223E0200X Dentist, Endodontics105372COYes

Practice location

3400 W 16th St
Suite H
Greeley, CO 80634-6862

Phone 970-356-8650

Mailing address

3400 W 16th St
Suite H
Greeley, CO 80634-6862

Phone 970-356-8650

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