Individual
DR. JARED ALAN FUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 BELLEMEADE RD, SUITE B, SETAUKET, NY 11733-3530
(631) 675-1694
Mailing address
100 BELLEMEADE RD, SUITE B, SETAUKET, NY 11733-3530
(631) 675-1694
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
055786-1
NY
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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