Individual
DR. CARL EDWARD FUNKHOUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
220 E MAIN ST, CARMI, IL 62821-1842
(618) 382-5341
(618) 382-5342
Mailing address
220 E MAIN ST, PO BOX 575, CARMI, IL 62821-1842
(618) 382-5341
(618) 382-5342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019015543
IL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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