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1245332097
BERT K. FUNATSU
PASADENA, CA
NPI
1245332097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 17682)
Enumeration Date
2006-09-02
Last Update Date
2007-07-08
Business Address
-- BERT K. FUNATSU D.D.S.
301 S FAIR OAKS AVE SUITE 205
PASADENA, CA 91105-2561
Phone number: 626-796-8904
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Mailing Address
-- BERT K. FUNATSU D.D.S.
301 S FAIR OAKS AVE SUITE 205
PASADENA, CA 91105-2561
Phone number: 626-796-8904
Copy
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