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Organization
GLENN S. FUNG, DMD., INC
Active
Organization
GLENN S. FUNG, DMD., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN S. FUNG D.M.D (PRESIDENT)
(707) 448-8851
Entity
Organization
Contact information
Practice address
885 MARKHAM AVE, VACAVILLE, CA 95688-2988
(707) 448-8851
Mailing address
885 MARKHAM AVE, VACAVILLE, CA 95688-2988
(707) 448-8851
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39957
CA
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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