Individual
DR. WILLIAM A FUNDERBURK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1261 38TH AVE N, COMFORT DENTAL, MYRTLE BEACH, SC 29577-1313
(843) 448-5757
Mailing address
PO BOX 7640, MYRTLE BEACH, SC 29572-0015
(843) 448-5757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2715
SC
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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