Individual
DR. DANIEL SHAWN FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1345 E 3900 S, SUITE 108, SALT LAKE CITY, UT 84124-1474
(801) 274-3768
(801) 273-9768
Mailing address
1345 E 3900 S, SUITE 108, SALT LAKE CITY, UT 84124-1474
(801) 274-3768
(801) 273-9768
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9762495-9922
UT
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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