Individual
TODD LAWRENCE FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
80 W 3RD ST, WINONA, MN 55987-3431
(507) 452-2670
(507) 452-0327
Mailing address
80 W 3RD ST, WINONA, MN 55987-3431
(507) 452-2670
(507) 452-0327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9937
MN
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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