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Organization
RAYMOND H. FUNADA, D.D.S., INC.
Active
Organization
RAYMOND H. FUNADA, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND FUNADA (DENTIST)
(408) 287-5900
Entity
Organization
Contact information
Practice address
2000 FOREST AVE, SUITE C, SAN JOSE, CA 95128-4831
(408) 287-5900
Mailing address
2000 FOREST AVE, SUITE C, SAN JOSE, CA 95128-4831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37965
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
609294
UNITED CONCORDIA PROV #
CA
Enumeration date
09/21/2006
Last updated
05/21/2015
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