Organization
JOSEPH R. FUNDERBURK DDS PROFESSIONAL LLC
Active
Other names
Grand Junction Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R. FUNDERBURK D.D.S. (OWNER/DOCTOR)
(970) 241-2820
Entity
Organization
Contact information
Practice address
613 25 ROAD, SUITE 1, GRAND JUNCTION, CO 81505-3607
(970) 241-2820
(970) 248-9553
Mailing address
613 25 ROAD, SUITE 1, GRAND JUNCTION, CO 81505-3607
(970) 241-2820
(970) 248-9553
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10676
CO
Other
Enumeration date
04/17/2013
Last updated
10/21/2021
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