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Organization

JOSEPH R. FUNDERBURK DDS PROFESSIONAL LLC

Active
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Organization

JOSEPH R. FUNDERBURK DDS PROFESSIONAL LLC

Active
Other names
Grand Junction Oral Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH R. FUNDERBURK D.D.S. (OWNER/DOCTOR)
(970) 241-2820
Entity
Organization

Contact information

Practice address
613 25 ROAD, SUITE 1, GRAND JUNCTION, CO 81505-3607
(970) 241-2820
(970) 248-9553
Mailing address
613 25 ROAD, SUITE 1, GRAND JUNCTION, CO 81505-3607
(970) 241-2820
(970) 248-9553

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10676
CO

Other

Enumeration date
04/17/2013
Last updated
10/21/2021
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