Individual
DR. KAZUMI FUNAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7720 W SAHARA AVE STE 110, LAS VEGAS, NV 89117-2754
(702) 242-4680
(702) 304-9996
Mailing address
7720 W SAHARA AVE STE 110, LAS VEGAS, NV 89117-2754
(702) 242-4680
(702) 304-9996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4882
NV
1223G0001X
General Practice Dentistry
Primary
4882
NV
Other
Enumeration date
02/15/2007
Last updated
08/27/2014
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