Individual
DAVID C FUNDERBURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3400 W 16TH ST, SUITE H, GREELEY, CO 80634-6862
(970) 356-8650
Mailing address
3400 W 16TH ST, SUITE H, GREELEY, CO 80634-6862
(970) 356-8650
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
105372
CO
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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