Individual
DR. ROBERT J FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20 N 4TH AVE, ROYERSFORD, PA 19468-1912
(610) 948-4010
(610) 948-4816
Mailing address
214 ACOMA LN, COLLEGEVILLE, PA 19426-2724
(610) 948-4010
(610) 948-4816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS024730-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS024730-L
LICENCE
PA
Enumeration date
12/28/2006
Last updated
07/08/2007
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