| NPI | 1194366492 |
|---|---|
| Former Legal Business Name | HAROLD K FUNG ,DMD |
| Entity Type | Organization |
| Authorized Contact | HAROLD K FUNG Dentist 510-504-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |