Individual
DR. DANIEL BLAINE FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
620 N ARGONNE RD, SUITE A, SPOKANE VALLEY, WA 99212-2792
(509) 928-8762
Mailing address
427 W 15TH AVE, SPOKANE, WA 99203-2109
(509) 624-3733
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE00009926
WA
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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