Individual
BERT K. FUNATSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
301 S FAIR OAKS AVE, SUITE 205, PASADENA, CA 91105-2561
(626) 796-8904
(626) 796-8998
Mailing address
301 S FAIR OAKS AVE, SUITE 205, PASADENA, CA 91105-2561
(626) 796-8904
(626) 796-8998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17682
CA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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