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CHASE A FUNK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1415 FILLMORE ST STE 701, TWIN FALLS, ID 83301-3346
(208) 735-1415
(208) 734-7603
Mailing address
1415 FILLMORE ST STE 701, TWIN FALLS, ID 83301-3346
(208) 735-1415
(208) 733-2757

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D4582
ID
1223G0001X
General Practice Dentistry
Primary
D4582ID
ID

Other

Enumeration date
06/17/2014
Last updated
02/14/2024
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