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Individual

DR. CARLTON H. FUNG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4305 TORRANCE BLVD, SUITE 102, TORRANCE, CA 90503-4409
(310) 371-2337
Mailing address
4305 TORRANCE BLVD, SUITE 102, TORRANCE, CA 90503-4409
(310) 371-2337

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32554
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32554
LICENSE NUMBER
CA
Enumeration date
06/14/2006
Last updated
07/08/2007
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